Billing and Membership Analyst

Summa Health SystemAkron, OH
414d$40,248 - $48,298

About The Position

The Billing and Membership Analyst at Summa Health is responsible for developing, implementing, performing, and reconciling transactions in the claims system and related vendor systems. This role ensures compliance with regulatory guidelines and maintains knowledge of legislation affecting enrollment, eligibility, and premium billing functions. The position is entry-level and offers a flexible PRN schedule.

Requirements

  • High school diploma or equivalent.
  • One year of experience in eligibility processing, auditing records, and data processing.
  • Basic proficiency in Microsoft Office applications, including Access, Word, and Excel.
  • Ability to type 35 words per minute with 95% accuracy.
  • Strong analytical skills and attention to detail.
  • Excellent proofreading and communication skills.

Nice To Haves

  • Experience with customer service or claims software applications.
  • Ability to manage time effectively in a fast-paced environment.

Responsibilities

  • Develop, implement, and reconcile transactions in the claims system and vendor systems.
  • Ensure compliance with regulatory guidelines and legislation affecting enrollment and billing functions.
  • Research and maintain knowledge of current and proposed legislation impacting billing and eligibility processes.
  • Communicate professionally with various audiences, including Senior Leadership.
  • Perform data analysis and make recommendations based on findings.

Benefits

  • Competitive pay
  • Flexible PRN schedule

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Hospitals

Education Level

High school or GED

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