Billing Analyst

Description

Job Summary: Billing Analyst responsible for analyzing and controlling claim denials, identifying inconsistencies, and improving billing and collections processes in the healthcare sector. Key Highlights: 1. Analysis, control, and resolution of claim denials 2. Improvement of billing and collections processes 3. Integrated collaboration with billing and authorization departments Billing Analyst \- Analysis, control, and handling of claim denials related to services provided by the clinic. • Identify inconsistencies in authorizations, codes, procedures, and clinical documents; maintain tracking and documentation of denials, appeals submitted, and recovered amounts. • Guide clinical and administrative staff on necessary corrections and support improvements to the clinic's billing and collections processes. • Collaborate closely with billing, authorization, and patient service departments to ensure compliance with contracts, regulations, and clinical protocols. Completed high school education. • Organizational skills, strong interpersonal communication, attention to detail, proactivity, and commitment to deadlines and results. • Knowledge of medical insurance routines and healthcare billing practices, proficiency in billing systems and Microsoft Office suite. • Familiarity with TUSS, CBHPM nomenclatures, and health insurer rules.