Billing Analyst

Overview:

Unified Women’s Healthcare is a company dedicated to caring for OB/GYN providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. We take great pride in not just speaking about this but executing on it.

As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our OB/GYN medical affiliates – enabling them to focus solely on the practice of medicine while we focus on the business of medicine.

We are action oriented. We strategize, implement and execute – on behalf of the practices we serve.

The Billing Analyst is entrusted with the job of reviewing provider’s documentation for the purpose of reimbursement, training and education using customary medical billing practices. This position will be directly involved in analyzing pre-bill claim edits and will review and make required updates based on payor policy requirements.  This role utilizes knowledge of client systems and procedures to provide a second level review of billing procedural policies to ensure optimal reimbursements while adhering to payor-specific requirements. The Billing Analyst reviews, develops, and/or suggests modifications to client procedures, systems, and protocols to achieve and maintain compatibility with billing requirements.

Responsibilities:

• Provide second-level review of billing procedural policies to ensure optimal reimbursements while adhering to payor-specific requirements
• Interact with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtain clarification of conflicting, ambiguous, or non-specific documentation through provider queries
• Submit any issues or trends to Revenue Cycle Manager and/or practice administrator
• Respond to inquiries regarding payor policies and guidelines, inappropriate coding, denials, and billable services
• Interact with providers and management to review and/or implement codes and to update billing instructions
• Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, and claims
• Review and suggest improvements to procedures, systems, and protocols to ensure optimal billing performance
• Ensure strict confidentiality of financial and medical records
• Perform miscellaneous job-related duties as assigned

Qualifications:

• Minimum of 5 years’ experience as a biller, collector, coder, or back office support staff, or other equivalent medical industry experience
• OB/GYN experience preferred, but not required
• Associates degree from an accredited university preferred
• Advanced knowledge of medical billing systems
• Ability to use independent judgment and to manage and impart confidential information
• Ability to analyze and solve problems
• Strong communication and interpersonal skills
• Knowledge of legal, regulatory, and policy compliance issues related to medical billing procedures and documentation
• Knowledge of current and developing issues and trends in medical billing procedures