- Conduct in-depth analysis of medical billing data to identify patterns, trends, and differences.
- Assess the efficiency and effectiveness of medical billing processes. Identify areas for improvement and collaborate with the billing team to implement enhancements that streamline operations.
- Collaborate with coding specialists to address any discrepancies and improve coding practices.
- Investigate and analyze claim denials to determine root causes. Implement corrective actions to minimize denials and collaborate with the billing team.
- Documentation of practices, ensuring accurate and comprehensive information is provided for billing purposes.
- Ensure compliance with healthcare regulations, including HIPAA. Stay informed about changes in regulations and implement necessary changes in client accounts.
- Maintain detailed documentation of payment posting processes, updates, and changes.
- Verify and accurately post payments received from insurance companies, patients, and other sources. Match payments with corresponding invoices and reconcile any discrepancies in a timely manner.
- Address credit balances on patient accounts by reviewing and resolving issues causing overpayments. Implement corrective actions to prevent recurring credit balance situations.
What we are looking for:
- Bachelor's degree in any discipline or a related field.
- Proven experience as a Medical Billing Analyst or similar role.
- Strong analytical and problem-solving skills, with proficiency in data analysis tools.
- Familiarity with healthcare billing software and proficiency in relevant computer applications.
- Effective communication and collaboration skills.
- Detail-oriented with a commitment to accuracy in data interpretation.
- Ability to adapt to evolving healthcare industry trends and regulatory changes.
What would make you stand out:
- In-depth knowledge of medical billing processes, coding systems, and reimbursement mechanisms.
Position Hours: