Patient Account Analyst - Insurance Billing

Livingston HealthCare; Livingston (MT); Sur place; USD 27 000 - 39 000; Plein temps

Avantages offerts par ce poste

Robust Benefits Package

Résumé du poste

Livingston HealthCare is seeking a Patient Account Analyst - Insurance Billing to ensure timely submission of insurance claims and accurate billing in accordance with payer requirements. The role supports supervisors by implementing system updates and processing daily claims with a focus on accuracy, communication, and customer service.

Responsibilities include reviewing final bills, applying appropriate codes, generating reports, and issuing adjustments or refunds as needed.

Qualifications

• High School Diploma or GED required.
• Two years medical billing experience preferred.
• Two years computer experience including Word and Excel.

Responsabilités

• Review final bills for accuracy according to payer requirements.
• Understand payer edits and update claims accordingly.
• Apply UB and 1500 billing with codes for compliant payer billing.
• Process claims daily in system work queues and payer clearinghouse.
• Prepare and submit timely adjustments and refunds for manager approval.
• Provide quality customer service to patients and staff.

Connaissances

Communication skills

Attention to detail

Analytical/problem-solving

Customer service

Team collaboration

Formation

High School Diploma or GED

Outils

Microsoft Word

Microsoft Excel

Description du poste

Patient Account Analyst - Insurance Billing

Responsible for the timely and accurate submission of Insurance claims. Coordinate billing procedures and working payer edits in conjunction with updated Payer requirements and guidelines.

Schedule:

• 1.0 FTE (40 hours)
• Mon-Fri
• 8:00am- 4:30pm

Compensation:

• $23.82/hr+ DOE
• Robust Benefits Package

ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES:

• Review and check final bills for accuracy according to specific Payer billing requirements.
• Understand payer edits and update claims appropriately.
• Understand UB and 1500 billing to apply condition codes, value codes, occurrence codes and patient status codes as required to assure compliant billing to payers.
• Receive, communicate and assist Supervisor with the implementation of system updates as directed by Payer bulletins and notifications.
• Process claims daily in the system work queues and Payer clearinghouse for electronic claims processing.
• Research, prepares, and provides all required reports.
• Prepares and submits timely adjustments for Managers approval.
• Prepares timely refunds for Managers approval
• Knowledge of the medical coding processes including CPT, ICD10 and revenue codes are helpful.
• Responsible for entering in operating system ,detailed notes indicating the current claim status and documentation of all transactions on assigned accounts.
• Responsible for being courteous and polite to patients, their agents, coworkers, and other hospital staff at all times, whether on the telephone or in person.
• Provide quality customer service, both internally and externally.
• To be cross trained in other areas of the hospital as necessary.
• Perform other duties as assigned by Manager.

QUALIFICATIONS (Required):

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily
• High School Diploma or GED
• Preferred, a minimum of two years’ medical billing experience.
• Minimum of two years’ computer experience which includes Microsoft Word, Excel.
• Demonstrated ability to be accurate and attentive to detail
• Analytical and problem-solving skills
• Excellent communication skills, both written and verbal

ADDITIONAL DESIRABLE QUALIFICATIONS:

• Mature personality, sense of responsibility, and integrity.
• Excellent organizational skills and time management skills.
• Analytical and decision-making skills.
• Ability to multitask and maintain a flexible daily work schedule.
• Seek opportunities to provide quality customer service.