Medical Billing Analyst

JOB SUMMARY:

The Medical Billing Analyst may be responsible for collecting, posting, and managing account payments, and for submitting claims and following up with insurance companies. 40 hours per week.

SPECIFIC JOB DUTIES:

• Processes billings to patients and insurance reimbursement claims; maintains supporting documentation files and current patient addresses.
• Processes patient statements, keys data, posts transactions, and verifies accuracy of input to reports generated.
• Researches and responds by telephone and in writing to patient inquiries regarding billing issues and problems.
• Follows up on submitted claims; monitors unpaid claims, initiates tracers, resubmits claims, as necessary.
• May receive and receipt cash items and third-party reimbursements; posts and reconciles payments to patient ledgers.
• Maintains patient demographic information and data collection systems.
• Participates in development of organization procedures and update of forms and manuals.
• Performs a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions.
• Ensures strict confidentiality of financial records.
• Computer literate, able to use Microsoft Office, Word, Excel, Outlook, PowerPoint, Publisher, and Accounting.
• Performs miscellaneous job-related duties as assigned.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Education and/or Experience: High school diploma or general education degree (GED) and preferred five (5) years related experience and/or training; or equivalent combination of education and experience.
• Language Skills: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to clients and other employees of the organization.
• Evaluation of Duties: Initial review will be performed at 30 days from date of hire to ensure training is completed timely and employee is good fit for company. An evaluation will be performed at 90 days to evaluate performance. Quarterly evaluations of specified duties will be performed by the Operations Director and HR Manager. Findings will be reviewed with the employee for further training and discussions.