Junior Billing & Record Analyst

Alivia Health • Ponce, PR

4d

About The Position

The Junior Billing and Record Analyst will be responsible for validating and auditing that the required documents for invoicing are accurate and complete before they are sent to the Billing Department.

Requirements

• Associate degree in Medical Billing or Medical Billing Certification.
• 1+ years of previous experience in medical billing or case coordination.
• Excellent skill with MS Office including but not limited to Word, Excel, and Outlook.

Responsibilities

• Validate that the documents processed by the Pharmacy and Case Management departments are accurate and complete before being sent to the Billing Department.
• Follow up with Coordinators to ensure completion of their records.
• Ensure that all provided cases have been sent for billing.
• Tabulate and review administrative cases to ensure proper invoicing.
• Validate and audit consultation cases for correct payment.
• Review authorization letters and ensure they contain the necessary and accurate information.
• Refer incomplete or modified authorization letters to medical plans and provide follow-up.
• Validate the receipt of payment agreement letters, if required.
• Check that co-payments have been communicated to patients during the Coordination process.
• Act as a liaison and provide support between the Pharmacy, Billing, Finance, and Metro Pavia.
• Responsible for digitizing patient documents on the platform.
• Assist in special projects as requested to meet the company's needs.
• Assist in preparing patient payment agreements, quotes, or receipt evidence.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree