Billing & Insurance Analyst I (3026) - Central Billing

Tpmg; Newport News (VA); On-site; USD 35,000 - 50,000; Full time

Job summary

A large healthcare provider in Newport News, VA is seeking a Billing & Insurance Analyst I for its billing department. The role involves overseeing daily billing operations for primary and secondary claims, ensuring accuracy in lab billing, and assisting with account reconciliation. Candidates should have a high school diploma or college degree, with experience in medical billing and coding. This full-time position offers a dynamic environment focused on accuracy and communication.

Qualifications

• Knowledge of reimbursements and medical necessity for lab billing.
• Experience in medical billing, coding, and follow up.

Responsibilities

• Responsible for daily billing operations for claims and follow up.
• Review laboratory charges and make necessary corrections.

Skills

Knowledge of medical terminology and ICD-10 coding

Knowledge of insurance billing and follow up

Skill in communicating clearly with diverse publics

Ability to work independently

Education

High school diploma or college degree

Job description

Location: Newport News, VA

Job Id:3026

# of Openings:2

Tidewater Physicians MultispecialtyGroup is actively seeking an Billing & Insurance Analyst I for our billing department located in Newport News, VA. Tidewater Physicians Multispecialty Group (TPMG) is comprised of over 200 physicians and advanced practice clinicians and is the largest physician-owned group on the Peninsula.This is a full-time position, Monday - Friday.

Position Summary

The Billing & Insurance Analyst I is responsible for daily operations related to the billing of primary and secondary claims and insurance follow up for the Central Laboratory and site lab testing; coordinates with staff to ensure timely billing and follow up for lab tests. The lab billing analyst will ensure all lab adjustments are minimal and accurate. The analyst will assist with identifying trends, account reconciliation, charge entry and answering questions related to lab billing.

Major Duties and Responsibilities

• Review laboratory charges and denials and make necessary corrections and/or follow up.
• Assists with identifying trends, aberrations and concerns related to lab billing and payer denials.
• Review remits and ensure credits and adjustments are accurately posted.
• Assists with charge entry of lab charges generated in lab collection centers.
• Communicates trends, aberrations and concerns related to lab billing to Laboratory Services Manager and CBO managers as appropriate.
• Respond to correspondences and phone inquiries related to lab billing.
• All other duties as requested by the Manager.

Knowledge, Skills and Abilities

• Knowledge of appropriate medical terminology, ICD-10 coding and reimbursement, medical necessity as related to laboratory billing.
• Knowledge of insurance billing and follow up.
• Knowledge of LCD’s, NCD’s and modifiers required for accurate claims processing.
• Knowledge of electronic health record.
• Knowledge of payers/insurance/coding to ensure proper reimbursement.
• Knowledge of Microsoft Office applications.
• Skill in communicating clearly with diverse publics.
• Ability to work scheduled hours as defined in the job offer.
• Ability to use website based insurance systems.
• Ability to establish/maintain effective working relationships with multiple departments to ensure appropriate laboratory billing.
• Ability to read and understand oral and written instructions and follow written protocols.
• Effective communication.
• Ability to work independently.

Education / Training / Requirements

• High school diploma or college degree
• Experience in medical billing, coding and follow up

Physical Demands

• Ability to stand and walk for limited periods of time.
• Ability to sit for extended periods of time.
• Ability to climb or balance for limited periods of time.
• Ability to occasionally reach, bend, stoop and lift up to 30 lbs. *
• Ability to grasp and hold up to 25 lbs.*
• Ability to hear normal voice level communications in person or through the telephone.
• Ability to speak clearly and understandably.
• Ability to smell.

Success Factors

• Alignment with Company Mission and Core Values
• Open Communication/Positive
• Goal Driven
• Accuracy and Attention to Detail
• Accomplished in word processing and worksheet utilization

All statements are essential functions of the position unless identified as non-essential by an asterisk (*).

Come join the team!

TPMG is an equal opportunity employer committed to a diverse and inclusive workforce.