Billing And Denial Specialist

Analyst, Billing & Denial

Park Nicollet is looking to hire an Analyst, Billing & Denial to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.

Position Summary:

Supports the overall functions of Billing and Post Service Denials while teaming with Operations and other areas of Patient Financial Services to provide an exceptional patient experience with the financial aspects of receiving care at PNHS while achieving maximization of organization's cash flow through review and reconciliation of accounts receivable balances; improvement of customer satisfaction through effective and compliant billing practices; and maintenance and development of systems to support these efforts. Complies with federal and state insurance regulations and follows payer guidelines to ensure correct billing and appropriate reimbursement. Contributes to continuous quality improvement as it relates to Patient Financial Services to effectively accomplish our role in the organization's mission. Coordinates for all Billing and Post Services denial patient accounting system maintenance, enhancement, and development efforts to ensure all department objectives are met. Leads documentation, testing, training, and implantation of any system changes. Acts as a liaison between Billing and Post Service denial, Information Management, software vendors, and other customers of the patient accounting system to ensure process improvement and complete understanding of user requirements. Supports patient accounting systems which process 1,381,000 physician encounters, 17,800 hospital admissions and over 50,000 hospital outpatient procedures annually.

Required Qualifications:

Education, Experience or Equivalent Combination:

• Minimum 5 years' experience in health care and billing.
• Two to five years' experience with automated accounting or health care billing systems, including experience with system maintenance.

Knowledge, Skills, and Abilities:

• Strong analytical and troubleshooting skills needed.
• Demonstrated ability to comprehend system logic and explain it to others needed.
• Requires high level of detail and organization skills.
• This position requires a person who understands and has proven analytical skills as well as strong leadership and communication skills.
• Billing system knowledge would be extremely helpful.
• Health care insurance knowledge is required.
• Understands the interdependencies and interfaces between finance and billing as well as Compliance and HIPAA regulations.
• This position requires familiarity with medical terminology and coding (both CPT and ICD-9) and focused knowledge of billing, regulations, and insurance.
• Individual must possess proven leadership qualities, strong figure aptitude, verbal and written communication skills, and strong math aptitude.
• Provides support to Post Service Denial/Billing supervisor and team lead work support.
• Proficiency in the operations of Microsoft Office (including e-mail and calendar), spreadsheets, word processing applications, telephones, fax machines, and copiers. Frequent use of spreadsheets, query software and patient accounting applications.

Preferred Qualifications:

Education, Experience or Equivalent Combination:

• Advanced education

Benefits:

Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!