Billing Analyst I, Full-Time Days
About The Position
Under the direction of the Executive Director, Ambulatory Pharmacy Business Development and the Director, Pharmacy Contracting, Finance, and Metrics, the Billing Analyst I monitors billing operations for ambulatory pharmacy accounts payable and other business metrics. The Billing Analyst I works with the Senior Billing Analyst, Ambulatory Pharmacy, Specialty Pharmacy, Supply Chain, and Nursing to verify the accuracy and reconcile supply and facility-based charges. The Billing Analyst I audits charts to verify charge documentation, identifies patterns, makes recommendations for workflow changes to reduce charge capture issues.
Requirements
- Bachelor’s degree
- Minimum 1-3 years’ experience with pharmacy or hospital billing operations
- Proven working knowledge of CPT and ICD-9 coding systems required -- certification required within twelve months of job hire: CPC, RHIT, RHIA or any combination.
- Successful completion of medical terminology class.
- Familiarity with large healthcare information systems (past experience with IDX, OACIS, EPIC and/or Last Word preferred).
- Experience in PC based spreadsheets and word processing.
- Must be analytical and have excellent written and verbal communications.
- Demonstrated experience in managing interpersonal relationships and in handling multiple priorities effectively
Nice To Haves
- AAPC
Responsibilities
- Ensure all ambulatory and specialty third party charges are being paid and identify any reimbursement losses from third party payers.
- Follows all departmental policies, procedures, and billing regulations such as LMRPs, APCs, diagnosis coding and documentation.
- Interfaces with Nursing, Vendors, and Supply Chain to reconcile discrepancies in charge and procedural documentation
- Works with Supply Chain to enter new product information to assure correct accounts and billing codes have been assigned
- Assists in resolution of charge disputes or third-party audits
- Performs other duties related to revenue capture and reimbursement as assigned.
Benefits
- Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity.
- Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
