What are the responsibilities and job description for the CREDIT ANALYST - PHYSICIAN BILLING position at The Goodkind Group?
Seeking a Physician Billing Credit Analyst to work onsite in Melville/Farmingdale. Qualified candidates will have three (3) years of experience in healthcare collections, billing or reimbursements.Responsibilities:Physician Billing experienceKnowledge of Medicare/Medicaid Governmental Benefits and RegulationsStrong knowledge of Medical Insurance CoveragesProcess refunds for Third Party insurance, Medicaid or government assisted programs and commercial carriersComply with all regulatory agenciesSome of the duties expected, but not limited to, reviewing credit balances on accounts to resolve by correction, refund, over payment inquires and ensures compliance with internal and external agencies.Handles all telephone inquires related to overpaymentsIdentifies Coordination of Benefits. Provides specific documentation for refunds.Performs other job related duties, as required.QualificationsKnowledge of EPIC, preferredFull knowledge of ICD9/10 and CPT codingKnowledge of HIPPAFull knowledge of Third Party Billing (use of modifiers and COB rules)Proficient in MS Office (Word and Excel)Working knowledge of all insurance and/or government rules regarding payment, credit procedures, claims submittal and appeals processKnowledge and utilization of Third Party WebsitesAbility to read and correctly interpret Explanation of BenefitsAbility to work efficiently both independently and in a team environmentParticipation in all educational activities, seminars, and webinarsEducation and Work Experience:High School Diploma or GED, at minimumSome college preferredThree (3) years healthcare billing, reimbursement or collections
