Billing Analyst
Springfield Clinic•Springfield, IL
•$22 - $32
About The Position
The Billing Analyst monitors and analyzes the accuracy and integrity of billing and reimbursement processes. The role analyzes billing laws and contract regulations to support efficient billing of third-party payers by Springfield Clinic, and completes projects involving denials, billing errors, and reimbursement questions. Duties are assigned by the Billing Compliance Manager, and not all duties may be assigned to every staff member.
Requirements
- High school diploma or GED required.
- At least three years of insurance billing or review work required.
- Strong analytical and communication skills.
- Proficiency with software applications used to perform job duties.
- Ability to work independently with minimal supervision.
- Ability to continue learning about laws and regulations through reading manuals, subscriptions, and newsletters, and attending in-services and educational conferences.
- Manual dexterity for using a calculator and computer keyboard.
Nice To Haves
- College education preferred.
Responsibilities
- Research projects to support proper reimbursement by third-party payers.
- Analyze Medicare and Medicaid regulations and assist with educating providers and staff about compliance.
- Analyze contractual insurance plans to help ensure reimbursement follows contracts and fee schedules.
- Work on billing compliance projects involving applicable laws and regulations.
- Perform assigned Compliance Audit Reports and provide follow-up reporting to the Patient Accounting Coding and Billing Oversight Committee and/or Springfield Clinic Compliance Committee.
- Complete assigned provider education activities, which may include face-to-face meetings, educational memos, and orientation sessions.
- Help maintain pre-submission claim editing systems and work on analyses resulting from system reports.
- Analyze assigned monthly insurance denial reports.
- Provide occasional backup to other Billing Compliance Unit staff as needed.
- Follow Springfield Clinic incident reporting policies and procedures.
- Adhere to applicable OSHA and Springfield Clinic training requirements.
- Provide excellent customer service and follow the SC Way customer service philosophy.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
