Medical Billing Analyst- Anthem, Wkr Comp, Liability (Roanoke, VA, US, 24011)

Company: Carilion Clinic
Location: Roanoke
Posted on: May 28, 2023

Job Description:

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 job duties for the Medical Billing Analyst includes, but is not limited to, the following: Provides general support for Revenue Cycle Accounts Receivable functions within specified third party payer team. Maintains a working knowledge of assigned payer responsibilities. This position works with limited supervision under the direction of team management. Uses discretion in dealing with confidential patient protected information. Works in a fast-paced, office environment with high productivity and accuracy standards that require detailed analyzation, research and critical thinking skills to resolve claims issues. - Apply in-depth knowledge of the industry standard billing rules, regulations, and procedures to investigate and resolve problems related to outstanding insurance and - - - - - - - - - - - - - - -patient accounts in compliance with all Federal and State Billing requirements. - Conducts analysis of complex accounts and determines necessary actions needed for claim resolution. Manages denial, aged, no response, and "at risk" AR. - Utilizes strong analytical, problem solving, and root cause analysis skills to evaluate problems and diagnose unconventional payer trends and propose resolutions. - Recognizes the various timeframe requirements as assigned by payer acting as the primary line of defense against potential timely filing losses including filing written 1st, 2nd and 3rd level appeals to maximize cash flow and mitigate bad debt. - Exhibits a broad knowledge of medical billing collection practices and ICD-10/CPT/HCPCS/Modifiers and medical terminology. Prepares, reviews, and transmits claims using billing software, including electronic and paper processing. - Work special assignments based on payer requirements and specialized functions determined by management review, voluntarily or assigned. - Monitors AR balances and aggressively pursues collections on outstanding claims with appropriate payers. - Responds to internal billing inquiries by researching and effectively resolving issues. Documents actions taken and communicates results appropriately. Shift Details Required Mon - Fri 8:00am-4:30pm Overtime as needed 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: 140818 - Employment Status: Full time - Location: CASB - Carilion Administrative Services Building - Shift: Day - Shift Details: Shift Details Required Mon - Fri 8:00am-4:30pm Overtime as needed 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.

Keywords: Carilion Clinic, Roanoke , Medical Billing Analyst- Anthem, Wkr Comp, Liability (Roanoke, VA, US, 24011), Professions , Roanoke, Virginia