Patient Account Analyst​/Insurance Billing

Patient Account Analyst/Insurance Billing

Responsible for the timely and accurate submission of Insurance claims. Coordinate billing procedures and working payer edits in conjunction with updated Payer requirements and guidelines.

• 1.0
  
  FTE (40 hours)
• Mon-Fri
• 8:00am-4:30pm

• $21.20/hr +DOE
• Robust Benefits Package

• Review and check final bills for accuracy according to specific Payer billing requirements.
• Understand payer edits and update claims appropriately.
• Understand UB and 1500 billing to apply condition codes, value codes, occurrence codes and patient status codes as required to assure compliant billing to payers.
• Receive, communicate and assist Supervisor with the implementation of system updates as directed by Payer bulletins and notifications.
• Process claims daily in the system work queues and Payer clearinghouse for electronic claims processing.
• Research, prepares, and provides all required reports.
• Prepares and submits timely adjustments for Managers approval.
• Prepares timely refunds for Managers approval.
• Knowledge of the medical coding processes including CPT, ICD
  10 and revenue codes are helpful.
• Responsible for entering in operating system, detailed notes indicating the current claim status and documentation of all transactions on assigned accounts.
• Responsible for being courteous and polite to patients, their agents, coworkers, and other hospital staff at all times, whether on the telephone or in person.
• Provide quality customer service, both internally and externally.
• To be cross trained in other areas of the hospital as necessary.
• Perform other duties as assigned by Manager.

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
• High School Diploma or GED.
• Preferred, a minimum of two years’ medical billing experience.
• Minimum of two years’ computer experience which includes Microsoft Word, Excel.
• Demonstrated ability to be accurate and attentive to detail.
• Analytical and problem‑solving skills.
• Excellent communication skills, both written and verbal.

• Mature personality, sense of responsibility, and integrity.
• Excellent organizational skills and time management skills.
• Analytical and decision‑making skills.
• Ability to multitask and maintain a flexible daily work schedule.
• Seek opportunities to provide quality customer service.