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
Click
here to apply!
|