Billing Systems Analyst jobs in the United States

Job Summary: Responsible for receiving insurance and patient payments. Verifies, processes and records these payments. Answers patient payment questions. Performs minor secretarial duties. Participates in the department's performance improvement and continuous quality improvement (CQI) activities.

Demonstrates Competency in the Following Areas:

• Review patient claims information for completion and accuracy, and obtain any missing information prior to submission to insurance companies
• Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper claim forms
• Completes payment entry in a timely and accurate manner. Identify any payments not being reimbursed at the allowed/contractual amount and communicate this information to the supervisor
• Follow up with insurance company on unpaid or rejected claims. Resolves issue and re-submits claims
• Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal
• Work with patients to establish payment plans for past due accounts in accordance with provider policies
• Answer patient questions on patient responsible portions, copays, deductibles, write-offs, etc. Resolves patient complaints or explains why certain services are not covered
• Collaborate with patients and insurance companies to resolve billing inconsistencies and errors
• Follows HIPAA guidelines in handling patient information
• Answers the telephone professionally and in a timely manner; directs calls appropriately
• Reconciles front desk daily deposit packets
• Treats patients with respect, maintains confidentiality
• Demonstrates a good working relationship within the department and with other departments
• Demonstrates the ability to be flexible and organized
• Other duties as assigned

Knowledge, Skills, and Abilities

• High school graduate or equivalent
• A minimum of six months experience in bookkeeping/accounting
• Knowledge of bookkeeping/accounting procedures
• Ability to communicate in English, both verbally and in writing
• Additional languages preferred
• Basic computer knowledge required
• Ability to operate office equipment safely and correctly.