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Medical Billing Analyst HB Nat and Gov

Company: Carilion Clinic
Location: Roanoke
Posted on: January 27, 2023

Job Description:

Roanoke ,VA, US, 24011

How You'll Help Transform Healthcare:

Welcome to a promising future with this unique career opportunity. At Carilion Clinic, our team provides general billing support for Revenue Cycle in a forward-thinking environment. You will thrive through extensive training, supportive leaders and potential for advancement. Carilion offers comprehensive benefits, paid time off, and tuition options. Join a team where your skills and ideas will make a difference in the health of our patients and the communities we live in.

The Medical Billing Analyst maintains knowledge of billing area assigned. This position works under limited supervision and may look to the Team Lead or Manager for help in answering questions and furthering education around task completion. The Medical Billing Analyst uses discretion/ good judgment in dealing with confidential patient protected information. Works in a fast-paced, office environment with high productivity and accuracy standards that requires focus and concentration on tedious details and research.

The job duties for the Medical Billing Analyst includes, but is not limited to, the following:

  • Processes and monitors claims in work queues to the point of resolution and determines appropriate action and follow-up.
  • Conducts analysis of issues holding up accounts and follows guidelines established by Revenue Cycle Billing Manager to achieve successful adjudication from the third party payor assigned.
  • Maintains a working knowledge of assigned payor's specific operating policies and guidelines.
  • Recognizes the varying timeframe requirements as assigned by payor and is the primary line of defense in resolving timely filing and other straight forward denial issues.
  • Completes timely handling of mail and phone messages.
  • Reviews the SSI (electronic claim production) download in order to execute basic claim edits and document all work effort within the appropriate system.
    Position is M-F 8:00-4:30 with flexible schedule and remote work opportunities
    Position requires critical thinking and ability to work with payors to accomplish quick resolutions for claims
    Must be able to multi-task and work with multiple systems including Medicare DDE and various payor system
    Good communication skills with payors, vendors, and co-workers
    Exciting environment and training provided

    What We Require:

    Education: High School graduate required (or equivalent); some college education preferred.

    Experience: Two years of applicable experience desired.

    Other Minimum Qualifications: Effective communication, analytical, problem-solving, and critical thinking skills required. Excellent interpersonal skills required. Requires excellent hearing, clear/concise speech, excellent finger dexterity to operate computer terminal/keyboarding as well as use of a calculator. Must be proficient with word processing, computer/PC skills. Excellent documentation and follow-up skills required.

    About Carilion

    This is Carilion Clinic ...

    An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

    Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

    Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

    Requisition Number: 138070
    Employment Status: Full time
    Location: CASB - Carilion Administrative Services Building
    Shift: Day/Evening
    Shift Details: 8:00-4:30
    Recruiter Email: kagonce@carilionclinic.org
    For more information, contact the HR Service Center at 1-800-599-2537.

    Equal Opportunity Employer

    Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

    Carilion Clinic is a drug-free workplace.



    Please see job description



    PI201938617

Keywords: Carilion Clinic, Roanoke , Medical Billing Analyst HB Nat and Gov, Accounting, Auditing , Roanoke, Virginia

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