Billing Analyst, Physician Billing

Hackensack Meridian Health; Hasbrouck Heights (NJ); Presencial; USD 35.000 - 50.000; Jornada completa

Descripción de la vacante

Hackensack Meridian Health in New Jersey seeks a seasoned Revenue Cycle Analyst to analyze physician billing for faculty practices, test system updates, and resolve payer/edit issues. You will help maximize cash collections and improve the revenue cycle using OLIVE and EPIC platforms.

The role requires strong analytical skills, attention to detail, and ability to manage multiple projects in a fast-paced environment. Beneficial experience with EPIC/OLIVE and billing processes is valued.

Formación

• Bachelor's degree or 10 years of related experience in Revenue Cycle Operations.
• Minimum two years experience in a healthcare billing office or health insurance claims environment; familiar with common medical billing practices, concepts, and procedures.
• Excellent analytical and critical thinking skills.
• Ability to work in a fast paced business office; must be able to coordinate multiple projects with multiple deadlines or changing priorities.
• Strong attention to and recall for details.
• Prior experience with an electronic billing system/claims editor.
• Must be highly organized and possess excellent time management skills.
• Excellent written and verbal communication skills.
• Proficient computer skills that may include Microsoft Office and/or Google Suite platforms.

Responsabilidades

• Utilizes billing system reports for analysis, identifies trends and developments; presents findings to physician Billing Management.
• Assists with the resolution of the PB billing system and edit issues as they arise. Keeps Manager informed of all system issues and consults for direction as necessary.
• Performs testing for new or upgraded systems and applications; analyzes actual vs. expected results; performs root causes analysis as necessary; prepares written documentation, spreadsheets, and/or a summary of findings for Management as necessary.
• Assesses the impact of new billing requirements on the operation and recommends procedural or system changes as necessary. Assists with implementation of automation or other efficiencies upon identification of opportunities.
• Performs reconciliation of electronic transactions. Identifies errors and performs root cause analysis when rejections are identified; documents results.
• Performs or assists with specialized billing functions (i.e., list billing, cosmetic, global, research, hard copy attachments, grants); may assist with day to day billing functions when necessary.
• Provides assistance with maintaining current and accurate written departmental policies and procedures.
• Evaluates actual vs. planned performance and metrics, presents and communicates possible opportunities.
• Identifies and suggests resolution for problems involving departments which affect billing productivity or data quality.
• Maintains accurate notes and electronic documentation of findings; documents requirements, expectations and/or deadlines to ensure accurate and timely completion of tasks.
• Initiates contact with insurance companies as necessary to investigate or resolve payer/edit issues.
• Maintains working knowledge of the claims scrubber system (currently OLIVE) and HMH main information system (i.e., EPIC).
• Adheres to HMH Organizational competencies and standards of behavior.
• Other duties and/or projects as assigned.

Conocimientos

Analytical thinking

Attention to detail

Written and verbal communication

Time management

Multitasking

Microsoft Office/Google Suite

Educación

Bachelor's degree or 10 years of related experience in Revenue Cycle Operations

Herramientas

EPIC

OLIVE

Descripción del empleo

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

Responsibility for analysis of the Physician billing functions for all HMH faculty practices. Assists the PB Billing Management with system testing, upgrades, modifications and mandated regulatory changes. Identifies billing issues and recommends possible solutions to increase productivity, maximize cash collections, and improve the revenue cycle.

Responsibilities

• Utilizes billing system reports for analysis, identifies trends and developments; presents findings to physician Billing Management.
• Assists with the resolution of the PB billing system and edit issues as they arise. Keeps Manager informed of all system issues and consults for direction as necessary.
• Performs testing for new or upgraded systems and applications; analyzes actual vs. expected results; performs root causes analysis as necessary; prepares written documentation, spreadsheets, and/or a summary of findings for Management as necessary.
• Assesses the impact of new billing requirements on the operation and recommends procedural or system changes as necessary. Assists with implementation of automation or other efficiencies upon identification of opportunities.
• Performs reconciliation of electronic transactions. Identifies errors and performs root cause analysis when rejections are identified; documents results.
• Performs or assists with specialized billing functions (i.e., list billing, cosmetic, global, research, hard copy attachments, grants); may assist with day to day billing functions when necessary.
• Provides assistance with maintaining current and accurate written departmental policies and procedures.
• Evaluates actual vs. planned performance and metrics, presents and communicates possible opportunities.
• Identifies and suggests resolution for problems involving departments which affect billing productivity or data quality.
• Maintains accurate notes and electronic documentation of findings; documents requirements, expectations and/or deadlines to ensure accurate and timely completion of tasks.
• Initiates contact with insurance companies as necessary to investigate or resolve payer/edit issues.
• Maintains working knowledge of the claims scrubber system (currently OLIVE) and HMH main information system (i.e., EPIC).
• Adheres to HMH Organizational competencies and standards of behavior.
• Other duties and/or projects as assigned.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree or 10 years of related experience in Revenue Cycle Operations
• Minimum two years experience in a healthcare billing office or health insurance claims environment; familiar with common medical billing practices, concepts, and procedures.
• Excellent analytical and critical thinking skills.
• Ability to work in a fast paced business office; must be able to coordinate multiple projects with multiple deadlines or changing priorities.
• Strong attention to and recall for details.
• Prior experience with an electronic billing system/claims editor.
• Must be highly organized and possess excellent time management skills.
• Excellent written and verbal communication skills.
• Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Educaton, Knowledge, Skills And Abilities Preferred

• Prior experience in a Patient Financial Services Department or Physician Billing Practice
• Extensive understanding of inpatient and outpatient billing practices.
• Experience with understanding and applying logic to claim rejections, edits, and errors.
• Experience with EPIC, or OLIVE

Compensation

Minimum rate of $30.92 Hourly

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.