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Revenue Cycle Management Billing Analyst

Description

The Billing Analyst is responsible to analyze, monitor and control billing processes through key indicator and data control reports to ensure the integrity of billing data. Applications utilized are:  Word, Excel, Crystal, OBR, GPMS, RDS, BabySteps, SounData, Onbase, E-Mail, the Internet, Master Database, and Imaging.


Pay: $20.79/hour

Hours: Standard business hours

Duration: CONTRACT  


Responsibilities 


  • Analyze the cause of all billing errors.
  • Daily review Claims Manager, OBR and GPMS edit reports.
  • Review errors with associates and re-train as necessary.  Monitor errors until resolved.
  • Identify opportunity for new edits based on billing analysis.
  • Complete daily Tie Out process of all interfaces.
  • Validate daily import of RDS/BS interface.
  • Balance Hash Totals and identify any skipped and/or duplicated batches. 
  • Identify and report to IS any system issues. 
  • Work with IS to achieve timely resolution of all daily issues.
  • Validate weekly uploads from SounData interface. 
  • Review Exception report to identify any outstanding data. 
  • Identify and report any system issues to IS. 
  • Work with IS to achieve timely resolution of all daily issues.
  • Monitor daily EPM Exception report and work with Practice to resolve any open issues.
  • Validate daily ximport of data from OBR to GPMS. 
  • Balance Hash Totals and identify any failed transactions. 
  • Identify and report any system issues to IS.  Work with IS to achieve timely resolution of all outstanding daily issues.
  • Complete daily edit reports for OnBase scanning.  QC scanned batches for validation of completeness.
  • Continuously monitor and audit the billing control processes and operations.
  • Perform coding clean-up when required.
  • Participate in weekly Claims Manager meetings.
  • Participate in Regional meetings for edit evaluation, as required.
  • Perform end of month process.
  • Validate month end ximport process.  Report validation to IS.
  • Execute Auto Write-Off program for all practices.
  • Generate AR status report for each region.  Report completion to IS.
  • Work special projects at the Billing Operations Manager discretion.
  • Perform testing for all system upgrades.  Validate upgrades in production once implemented.
  • Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
  • Any patient private health information (PHI) must not be divulged on any account except to payers that need the information in order to process the claim for payment.
  • Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.
  • Performs other job-related duties within the job scope as requested by Management of Patient Accounts.

Qualifications 

Associates degree (A. A.) or equivalent from two-year college or technical school; or one to two years related experience and/or training; or equivalent combination of education and experience.

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to calculate figures and amounts such as discounts and percentages.

Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to define problems, collect data, establish facts, and draw valid conclusions.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status

Requirements

 

Job Snapshot

Location US-TN-Knoxville
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Finance
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Company Overview

The CSI Companies

The CSI Companies and its four divisions provide national staffing solutions by placing top talent in the technology, financial, accounting, healthcare, and other professional industries across the country. The CSI Companies are part of Recruit Global Staffing, active in Asia, Europe, North America and Oceania. Recruit Global Staffing is a leading global HR service provider, part of Recruit Holdings Co., Ltd. To learn more about The CSI Companies, visit thecsicompanies.com. Learn More

Contact Information

US-TN-Knoxville
Snapshot
The CSI Companies
Company:
US-TN-Knoxville
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Finance
Store Type:

Description

The Billing Analyst is responsible to analyze, monitor and control billing processes through key indicator and data control reports to ensure the integrity of billing data. Applications utilized are:  Word, Excel, Crystal, OBR, GPMS, RDS, BabySteps, SounData, Onbase, E-Mail, the Internet, Master Database, and Imaging.


Pay: $20.79/hour

Hours: Standard business hours

Duration: CONTRACT  


Responsibilities 


  • Analyze the cause of all billing errors.
  • Daily review Claims Manager, OBR and GPMS edit reports.
  • Review errors with associates and re-train as necessary.  Monitor errors until resolved.
  • Identify opportunity for new edits based on billing analysis.
  • Complete daily Tie Out process of all interfaces.
  • Validate daily import of RDS/BS interface.
  • Balance Hash Totals and identify any skipped and/or duplicated batches. 
  • Identify and report to IS any system issues. 
  • Work with IS to achieve timely resolution of all daily issues.
  • Validate weekly uploads from SounData interface. 
  • Review Exception report to identify any outstanding data. 
  • Identify and report any system issues to IS. 
  • Work with IS to achieve timely resolution of all daily issues.
  • Monitor daily EPM Exception report and work with Practice to resolve any open issues.
  • Validate daily ximport of data from OBR to GPMS. 
  • Balance Hash Totals and identify any failed transactions. 
  • Identify and report any system issues to IS.  Work with IS to achieve timely resolution of all outstanding daily issues.
  • Complete daily edit reports for OnBase scanning.  QC scanned batches for validation of completeness.
  • Continuously monitor and audit the billing control processes and operations.
  • Perform coding clean-up when required.
  • Participate in weekly Claims Manager meetings.
  • Participate in Regional meetings for edit evaluation, as required.
  • Perform end of month process.
  • Validate month end ximport process.  Report validation to IS.
  • Execute Auto Write-Off program for all practices.
  • Generate AR status report for each region.  Report completion to IS.
  • Work special projects at the Billing Operations Manager discretion.
  • Perform testing for all system upgrades.  Validate upgrades in production once implemented.
  • Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
  • Any patient private health information (PHI) must not be divulged on any account except to payers that need the information in order to process the claim for payment.
  • Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.
  • Performs other job-related duties within the job scope as requested by Management of Patient Accounts.

Qualifications 

Associates degree (A. A.) or equivalent from two-year college or technical school; or one to two years related experience and/or training; or equivalent combination of education and experience.

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to calculate figures and amounts such as discounts and percentages.

Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to define problems, collect data, establish facts, and draw valid conclusions.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status

Requirements

 
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Revenue Cycle Management Billing Analyst Apply now