Patient Responsibility Invoicing Senior Analyst

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Applied Behavioral Analysis • AI • Healthcare • Technology

51 - 200

💰 Series A on 2022-08

Description

• As a Patient Responsibility Invoicing Senior Analyst, you will play a crucial role in the healthcare team by ensuring accurate and timely billing and account management for both the clients and the practitioners. • You will work closely with the billing team, healthcare providers, and insurance companies to process claims, resolve payment issues, and maintain financial records. • Generate accurate and timely patient bills and claims for services rendered, ensuring full compliance with insurance regulations and billing guidelines. • Confirm patient insurance coverage and obtain necessary pre-authorizations for treatments or procedures to minimize delays in billing. • Keep detailed and up-to-date patient records, including demographics, insurance information, and billing history, ensuring accurate documentation for smooth billing operations. • Stay informed on the latest billing, coding, and payer regulations (HIPAA, Medicare, Medicaid, etc.) to ensure compliance and mitigate risks. • Assist in preparing and analyzing financial reports related to patient accounts, revenue, and collections to help optimize billing processes and cash flow. • Keep up with evolving billing and coding regulations, insurance policies, and industry best practices to ensure consistent adherence to guidelines. • Work closely with IT, finance, and clinical teams to drive process improvements and implement technology solutions that enhance billing efficiency and accuracy. • Provide support with general administrative duties such as data entry, filing, and maintaining accurate records as required.

Requirements

• Bachelor’s degree in business, healthcare administration, accounting, or a related field (preferred but not required). • 2-3 years in medical billing, collections, or a similar role within healthcare, with a preference for experience in ABA (Applied Behavior Analysis) billing and collections. • Strong understanding of healthcare billing systems, coding (ICD, CPT, HCPCS), and claims processing, as well as payer regulations, including Medicare and Medicaid. • Skilled in data analysis and reporting, with advanced expertise in Excel, Office 365, and Google Workspace. • Excellent interpersonal, problem-solving, and negotiation skills to effectively manage payer relations and resolve patient inquiries or disputes. • Demonstrated ability to provide exceptional customer service, working with healthcare professionals, patients, and internal teams to address concerns and streamline processes.