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Contract Billing Analyst - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Fresno, CA Fresno, California |
About this job
Contract Billing Analyst
POSITION SUMMARY
The Contract Analyst I is responsible for analyzing various HMS reports to ensure that receivables net correctly and patient bills and statements are generated accurately and in a timely manner. The Contract Analyst I coordinates resolution of errors to the daily HMS reports process, i.e., payor log balancing report and ensures patient logs are correct, reviews insurance payments for accuracy, refunds overpayments and appeals underpayments. This individual also serves as a facility representative in communication with facilities, patients, and insurance companies concerning issues affecting patient bills and charges.
EDUCATION/TRAINING/EXPERIENCE
The Contract Analyst I must have a bachelor’s degree in accounting, business or healthcare related field. In lieu of a degree, four (4) or more years of work experience in a hands-on payer, billing, collections, or accounting finance position is acceptable.
SKILLS/KNOWLEDGE/ABILITIES
The Contract Analyst I must be able to analyze patient accounts to determine accuracy of balances to ensure the correct payment and adjustments have been applied and prepare refunds when needed. Must be able to read and interpret insurance contracts, UB04’s, 1500’s, Medicare, Medicaid and Commercial RA’s in addition to the tracking of exhausted days, ADR’s and other Medicare claim issues. Must be able to work in a fast paced, high stress environment.
POSITION SUMMARY
The Contract Analyst I is responsible for analyzing various HMS reports to ensure that receivables net correctly and patient bills and statements are generated accurately and in a timely manner. The Contract Analyst I coordinates resolution of errors to the daily HMS reports process, i.e., payor log balancing report and ensures patient logs are correct, reviews insurance payments for accuracy, refunds overpayments and appeals underpayments. This individual also serves as a facility representative in communication with facilities, patients, and insurance companies concerning issues affecting patient bills and charges.
EDUCATION/TRAINING/EXPERIENCE
The Contract Analyst I must have a bachelor’s degree in accounting, business or healthcare related field. In lieu of a degree, four (4) or more years of work experience in a hands-on payer, billing, collections, or accounting finance position is acceptable.
SKILLS/KNOWLEDGE/ABILITIES
The Contract Analyst I must be able to analyze patient accounts to determine accuracy of balances to ensure the correct payment and adjustments have been applied and prepare refunds when needed. Must be able to read and interpret insurance contracts, UB04’s, 1500’s, Medicare, Medicaid and Commercial RA’s in addition to the tracking of exhausted days, ADR’s and other Medicare claim issues. Must be able to work in a fast paced, high stress environment.
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