RCM Billing Analyst

Requirements

• The Billing Analys t is responsible for analyzing, researching and resolving issues related to the creation and submission of paper and electronic claims. Works with the Business Systems Department to create effective clearinghouse edits which respond to errors generated from electronic claims submissions. Monitors claim errors until resolved. Identifies opportunities for new edits based on billing analysis.
• 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.
• 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.
• Monitor daily EPM Exception report and work with Practice to resolve any open issues.
• 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.
• Perform end of month process.
• Perform testing for all system upgrades. Validate upgrades in production once implemented.
• Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
• Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.,

Qualifications

• Education/Experience:
• Associate's degree (A. A.) or equivalent from two-year college or technical school
• 2 years related experience and/or training; or equivalent combination of education and experience.
• Software:
• Word, Excel, Crystal, OBR, GPMS, RDS, BabySteps, SounData, Onbase, Master Database.

Benefits and Compensation

• Take great care of the patient, every day and every way.TM At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’s also how we view our employees and their families. We know that our greatest asset is YOU.
• We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families.

Pediatrix is an Equal Opportunity Employer