Billing Analyst

Jefferson Health Plans • Philadelphia, PA

5d • Onsite

About The Position

Provides professional and technical billing support to the Department of Anesthesiology and the Pain Institute. Analyzes all aspects of the Physician/Technical billings to ensure compliance and reimbursement maximization. Responsibilities include coding encounters for diagnosis and CPT codes and ensuring that they are properly entered into the system. Ensure that billing is obtained and charges entered for all providers in each practice site. Reviews physician and hospital billing practices against documentation in the medical record to ensure compliance with all federal, state and third-party billing requirements, rules and regulations. Works denials on both physician and hospital accounts by reviewing and providing solutions. Submits authorizations for outpatient procedures and any subsequent follow-up. Maintains and reports month-end accruals and monthly revenue reports. Ensures appropriate ASA coding for Anesthesia billing to maximize reimbursement.

Requirements

• High School Diploma (or equivalency)
• Typing, basic computer skills
• Minimum of 2 years current physician billing/coding experience required
• Knowledge of medical terminology and billing codes required

Nice To Haves

• Associate’s Degree preferred
• Previous anesthesia billing/posting experience preferred
• Epic billing/revenue experience preferred

Responsibilities

• Coding encounters for diagnosis and CPT codes and ensuring that they are properly entered into the system.
• Ensure that billing is obtained and charges entered for all providers in each practice site.
• Reviews physician and hospital billing practices against documentation in the medical record to ensure compliance with all federal, state and third-party billing requirements, rules and regulations.
• Works denials on both physician and hospital accounts by reviewing and providing solutions.
• Submits authorizations for outpatient procedures and any subsequent follow-up.
• Maintains and reports month-end accruals and monthly revenue reports.
• Ensures appropriate ASA coding for Anesthesia billing to maximize reimbursement.

Benefits

• medical (including prescription)
• supplemental insurance
• dental
• vision
• life and AD&D insurance
• short- and long-term disability
• flexible spending accounts
• retirement plans
• tuition assistance
• voluntary benefits
• tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED