Billing Analyst managing client charging cycles for RS Integrated Supply. Ensuring data integrity, invoice KPI targets, and resolving charging anomalies across various regions and markets.
About the role
- Billing Specialist managing Third-Party Payer billing and financial tracking processes. Responsible for handling claims submissions, denials, and communications with clinical staff.
Responsibilities
- Prepares and submits clean claims to Third Party Payers keeping within the expectations of the billing cycle to remain 7-10 days.
- Maintains information on billing procedures by client and by payer.
- Researches and resolves client billing issues with Third Party Payers.
- Performs various collection actions including review of claim denials to determine if there is a billing error that must be resolved or working with co-workers to determine the necessary steps to obtain claim payment.
- Follows all insurance policy and regulations.
- Performs daily follow-up of claims, including resolution of any billing errors.
- Performs daily task assignments to work various requests from multiple departments.
- Processes rejections and denials to determine if the claim needs to be corrected and if applicable taking the action to submit a corrected claim.
- Communicate with clinical staff when errors are identified that will result in billing errors and/or denials.
Requirements
- Education: High school diploma or equivalent.
- Coursework and/or experience in medical and/or health insurance billing, medical records management.
- Experience: At least two years of previous medical insurance, billing, or claims processing related experience.
- Experience and strong knowledge of insurance procedures, reimbursement, contracts, and insurance appeal are preferred.
- CPT and ICD-10 certification a plus.
- Strong keyboarding and computer skills including MS Office (Word and Excel) experience at an intermediate level.
- 10-key data entry proficiency.
- Knowledge of basic medical coding and third-party operating procedures and practices, as well as knowledge of financial concepts.
- Experience working with basic office machinery and equipment, including computers, copiers, fax machines, multi-line phone systems, etc.
- Knowledge of HIPPA privacy and security rules and regulations.
- Excellent interpersonal skills, with the ability to communicate effectively with others.
- Strong organizational skills, with the ability to multi-task and meet deadlines.
- Demonstrates initiative, with the ability to manage self and workload.
- Strong analytical and problem-solving abilities.
- Good mathematical aptitude.
- Exemplary customer service focus, for both internal and external clients.
- Able to work both independently and be self-directed, as well as being able to perform in a team atmosphere.
- Displays professionalism and represents organization in a professional manner.
- Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPPA guidelines.
Benefits
- Excellent oral, written and interpersonal communications skills
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Consistent and regular attendance is a requirement of the position.
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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