JOB SUMMARY

A Billing Analyst is responsible for research and resolve overpayment discrepancies, credit balances, and returned refund checks and handle patient concerns related to overpayments.

These remote duties include and are not limited to :

PRIMARY FUNCTIONS

Responsibilities

• Perform and validate overpayments related to coding.
• Initiate refunds of identified overpayments and resolve open discrepancies.
• Monitor takebacks and initiate refunds as appropriate.
• Accept phone calls and resolve patient concerns related to account balances.
• Research returned refund checks and take the necessary action to resolve.
• Identify problem accounts and processes to assess trends and escalate as appropriate.
• Utilize effective documentation standards that support a strong historical record of actions taken on the account.
• Perform basic math to ensure accurate statement of accounts receivable.
• Required to return to office weekly.
• Other duties as assigned.

EDUCATION AND EXPERIENCE

1. High school diploma or equivalent

2. Minimum 2 years Healthcare Operations experience

KNOWLEDGE, SKILLS AND ABILITIES

• Knowledge of medical billing / collection practices
• Knowledge of computer programs
• Knowledge of business office procedures
• Knowledge of basic medical coding and third party operating procedures and practices
• Ability to operate a computer, basic office equipment and a multi-line telephone system
• Skill in answering a telephone in a pleasant and helpful manner
• Ability to read, understand and follow both oral and written instructions
• Ability to establish and maintain effective working relationships with patients, co-workers and the public
• Must be well organized and detail-oriented

ADDITIONAL QUALIFICATIONS

Bilingual a plus (Spanish / English)

RELATIONSHIP REPORTING

• Reports to the Director of Revenue Cycle

Last updated : 2024-02-24