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Skills
Accounts Receivableunmatched
Analysis Skillsunmatched
Billingunmatched
Billing Recordsunmatched
Billing Softwareunmatched
Charge Captureunmatched
Communication Skillsunmatched
Corrective Actionunmatched
Data Analysisunmatched
Data Entryunmatched
Dental Insuranceunmatched
Detail Orientedunmatched
Documentationunmatched
Federal Laws and Regulationsunmatched
Financial Analysisunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
High School Diplomaunmatched
Maintain Complianceunmatched
Medicaidunmatched
Medical Billingunmatched
Medical Record Systemunmatched
Medicareunmatched
Microsoft Excelunmatched
Microsoft Outlookunmatched
Microsoft Product Familyunmatched
Onboardingunmatched
Organizational Skillsunmatched
Reconciliationunmatched
Reporting Skillsunmatched
SQL (Structured Query Language)unmatched
Time Managementunmatched
Trend Analysisunmatched
Vision Planunmatched
Description
Full-time Medical Billing Data Analyst to support accurate charge capture, detailed data entry, claim reconciliation and compliance with payer and federal guidelines. This role requires strong analytical skills, attention to billing detail and the ability to reconcile financial and claims data across multiple payer sources.
Workweek is Monday through Friday, 8:00 a.m.-5:00 p.m. at the rate of $27.00 hourly and reports directly to the Chief Financial Officer.
Key Responsibilities:
Perform accurate and timely charge entry and billing data entry within 24 hours of receipt
Ensure billing detail accuracy by validating services, charges, modifiers and payer requirements
Append appropriate modifiers and re-code denied, rejected or incorrect claims
Assist with identification of missing or incomplete charges to ensure all billable services are entered and reconciled by month-end
Analyze accounts receivable (A/R) data, identify variances, trends and discrepancies as well as provide supporting documentation
Perform billing and payment reconciliations across Medicare, Medicaid and subsidized or private payers
Prepare detailed reports related to billing activity, denials, adjustments and reconciliations for management review
Communicate with personnel regarding coding, documentation or billing discrepancies for corrective action and rebilling
Maintain strict compliance with HIPAA, payer regulations and federal guidelines
Support special projects and ad hoc analyses as requested by the management team
Qualifications:
Minimum education of high school graduate required, Associates Degree preferred
CPC, CCS or CPB required
Minimum of 5 years of demonstrated experience in medical billing, data entry and A/R analysis required
Proficiency with EHR systems, billing software, SQL and Microsoft Outlook products, specifically Excel, is required
Experience processing 835 remittance, 837 claim submittal and 270/271 eligibility files is preferred
Strong attention to detail with the ability to manage high-volume, detail-oriented work
Excellent analytical, organizational and communication skills
Ability to meet deadlines and reconcile complex billing and payment data accurately
Benefits Include:
Streamlined Digital Onboarding
Collaborative Work Culture
Comprehensive Medical, Dental and Vision Insurance Plans
Company-Sponsored Life Insurance, Long-Term Disability and Accidental Death and Dismemberment Coverage
Optional Additional Life Insurance Elections
Ancillary Benefits to Include Long-Term Care and Whole Life
Retirement Savings with 401(k) and Roth Options plus Employer Match and Contribution
Ample Paid Time including Vacation, Sick and Personal Days
Background and reference checks will be conducted. Individuals are not considered applicants until they have completed an application and completed an on-site interview. Completing the application does not guarantee employment. In accordance with North Central's Drug-Free Workplace Policy, pre-employment drug testing will be administered. EOE/AA.