Specialty Billing and Collections Analyst
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Job Description
Billing & Collections Analyst responsible for ensuring correct invoicing and data integrity for healthcare clients. Engaging with clients for adjustments and collection efforts in a remote capacity.
Responsibilities:
- Conducts monthly pre-billing review and data quality analysis to ensure that invoices delivered to customers and providers are accurate.
- Regularly receives and processes client and provider adjustments to ensure month end invoices are correct.
- Uses a variety of collection techniques and forms relationships with business clients to resolve payment issues and escalate collection efforts as necessary.
- Submits specialty billing for PACE and Medicaid clients using EDI software portal, reconciles EOBs, denied claims and conducts accounts receivable follow-up.
- Updates pricing on orders in system to ensure invoice accuracy for special items, agreements, substitutions, and unauthorized deliveries.
- Functions as a key contact person for all billing data integrity matters for clients, vendors, and various internal departments.
- Creates and develops reports to address management needs; analyzes information to identify issues and recommends process improvements as appropriate.
- May manage special billing & collections projects.
- Protects company’s intellectual property and the privacy of customers’ data
- Performs other duties as assigned or apparent.
Requirements:
- High school diploma or equivalent is required
- A bachelor’s degree in business or related field is preferred
- Medical billing and coding license is preferred
- At least two years of billing analytical experience in which employee worked within a team environment is required
- Experience in the healthcare or medical fields in which incumbents have gained an understanding of durable medical equipment is preferred
- Proficient and accurate data-entry skills are required to record and manipulate data as previously described
- Strong interpersonal skills due to constant contact both internally and externally. Displays the ability to work within a team
- Ability to work with independently and displays good prioritization skills
- A high attention to detailed information is required to review and reconcile data
- Ability to read service level contracts and understand the fee schedule for client and vendors.
- The ability to maintain confidentiality of patient information and follow standard operating procedures with regard to patient data to ensure compliance with HIPPA is required
- Strong knowledge of business and communications software (MS Office) and web-based tools are required
- Excellent spreadsheet (Excel) experience is required
- Experience with DMETrack software of at least one year is preferred
Benefits:
- No additional information is applicable
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