Billing Data Analyst (Onsite)

Memorial Hermann Health System

23h•Onsite

About The Position

At Memorial Hermann, the Billing Data Analyst is responsible for performing daily analysis and monitoring the status of transmitted claims to verify their acceptance for the adjudication process by payer category. The organization is committed to delivering high-quality, efficient care and creating exceptional experiences for all community members, including employees. They aim to foster an environment where employees feel valued and inspired to provide safe, compassionate, personalized, and efficient care, contributing to healthier communities for generations to come.

Requirements

Associates degree or equivalent experience.
Three (3) years hospital business office experience with insurance billing and/or managed care.
Strong analytical and problem solving skills.
Knowledge of ICD-10 and CPT codes.
Proficient PC skills (Word processing, maintenance and design of spreadsheets, maintenance and design of Access data bases, Maintenance of PC’s and Printers within the department).
Effective oral and written communication skills.

Responsibilities

Analyzes daily reports to determine status of transmitted claims shown as accepted for adjudication process by payer category.
Determines type of errors for unprocessed accounts, corrects errors, and submits for retransmission.
Communicates with management and staff regarding developing trends reflected in the types of unprocessed claims.
Tracks and monitors the Discharged – Not Billed report.
Documents communications with third party payers and internal employees.
Prepares various compliance, productivity, and status reports.
Prepares third party billing and remains current in billing and payment requirements.
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.