HCA, Hospital Corporation of America Billing Analyst I Urgent Care in Coppell, Texas
The Billing Analyst I will work closely with the Lead Billing Analyst entering all required billing data elements prior to processing charges for payment. A major function of this position is the submission of claims in order to receive payment for services rendered by the health care provider. The Billing Analyst I role requires an understanding of various types of insurance plans, knowledge of CPT, ICD-10-CM, and HCPCS Level II coding guidelines, and an understanding of the nuances of payer requirements, as to not compromise reimbursement. Billers work primarily with clinic personnel and the clearinghouse and must possess an eye for detail and accuracy. The Billing Analyst I must have a basic knowledge of rules and regulations applying to the healthcare industry and stay current on compliance issues.
Understanding of the general principles of billing, types of reimbursement, and code set guidelines.
Reviewing and preparing claims for electronic and hard copy billing submission.
Verify the accuracy of standard healthcare codes used by the physicians to classify services.
Validate data with billing software for accuracy.
Submit claims to the insurance company meeting established metrics per hour.
Reviews and corrects claims and charge edits and updates subscriber/demographic information as necessary.
Knowledge of medical insurance systems, government programs, electronic data exchange, medical documentation, Evaluation and Management, health insurance claim forms, and health insurance policies.
Expertise in claim tracking and follow-up, a high sense of urgency when filing claims, detail and accuracy while auditing claims as to file a clean claim on the first submission.
Openly communicate to the Lead Billing Analyst any trends in rejections from the clearinghouse.
Understanding of the life cycle of a medical billing claim to assist in implementation of solutions to reduce front-end errors and improve the revenue cycle.
Maintain a professional attitude and act cooperatively and courteously towards patients, leadership, clinical staff, and Home Office employees.
KNOWLEDGE, SKILLS, ABILITIES REQUIRED:
High School Diploma or equivalent.
Relevant work experience or education in healthcare billing/coding a plus.
Knowledge of medical terminology, patient care documentation, CPT, ICD-10-CM, and HCPCS Level II codes.
Ability to work in fast paced, deadline driven environment.
Solid Excel and Word skills and a willingness to learn.
Highly organized team player
Good verbal and written communication abilities.
Maintains confidentiality at all times.
Must be able to pay close attention to details, concentrate on work, and observe the work of others.
Knowledge of and adherence to HIPAA regulations and guidelines.
Professional image and attitude along with excellent customer service skills.
Practice and adhere to the company Mission Statement and Excellence Strategy.
Title: Billing Analyst I Urgent Care
Location: Texas-Coppell-CareNow - Primary Health Inc
Requisition ID: 24900-51229