Medical Billing Data Analyst

Job Description

Job 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.

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