Billing Analyst

Description

The Billing Analyst designs and implements billing processes that ensure timely and accurate billing of customers. Ensures that invoices accurately reflect terms and conditions agreed to by the organization and comply with governmental rules and regulations. Investigates and resolves billing discrepancies and errors. The Billing Analyst recommends improvements to the billing process.

The Billing Analyst is also responsible for managing all the stages of Partners In Excellence’s Client Intake Process. This position will work closely with potential client family members as well as Partners In Excellence Clinical Staff. This role plays a critical part in ensuring successful outcomes of turning a client lead into an actual client utilizing our services.

The salary range for this position is: $24.33 - $33.73 per hour. This range reflects the base salary for this position.  Please note that the specific compensation for this role will be determined based on your experience, qualifications, and internal equity considerations.

Essential Functions

• Accountable for managing all the stages of our intake process from initial contact through clients starting in services as well as the discharge process.
• This position will be accountable for tracking all prior authorizations, in network exceptions, single case agreements, and medical review requests and is responsible for ensuring all are submitted timely and with the appropriate medical documentation.
• If a billing issue arises regarding prior authorization, this role is expected to research and fix the issue.
• Owns entering client demographic information into all appropriate systems.
• Research insurance payor requirements.
• Responsible for internal intake meetings including setting them up and establishing the agenda.
• Generates all required intake reporting.
• Accountable for the annual benefit check process.
• Perform compliance audits to ensure all medical documentation follows insurance guidelines.
• Learns full scope of medical records and works closely with PCP office to obtain signatures when necessary.
• Must meet the physical demands listed below.
• Completes all other projects/duties as assigned.

Qualifications

Required Education and Experience 

• Associates degree in accounting, finance, business or related field or any equivalent combination of experience and training that provides the required knowledge, skills and abilities
• 3 years of medical intake processing, prior authorizations, billing experience or equivalent
• Experience working with an EHR/billing system

Preferred Qualifications

• Knowledge of insurance payor websites
• Exceptional aptitude for customer service
• Outstanding written and verbal communication skills
• Excels in problem solving skills
• Excellent attention to detail
• Ability to work with minimal supervision while being a team player
• Proficiency in safeguarding confidential information
• Strong organizational skills

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is largely a sedentary role; requiring sitting or standing at workstation using computer equipment and phone for extended periods of time. May need the ability to lift up to 25 lbs. While performing the duties of this job, the employee is regularly required to communicate and interact with people inside and outside the organization. Demonstrates excellent interpersonal, written and verbal communication skills with a clear understanding of English language (reading, writing and speaking). Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus.  

Salary : $24 - $34