CREDIT ANALYST - PHYSICIAN BILLING
5 days ago
Melville
Job Description Seeking a Physician Billing Credit Analyst to work onsite in Melville/Farmingdale. Qualified candidates will have three (3) years of experience in healthcare collections, billing or reimbursements. Responsibilities: • Physician Billing experience, • Knowledge of Medicare/Medicaid Governmental Benefits and Regulations, • Strong knowledge of Medical Insurance Coverages, • Process refunds for Third Party insurance, Medicaid or government assisted programs and commercial carriers, • Comply with all regulatory agencies, • Some of the duties expected, but not limited to, reviewing credit balances on accounts to resolve by correction, refund, over payment inquires and ensures compliance with internal and external agencies., • Handles all telephone inquires related to overpayments, • Identifies Coordination of Benefits. Provides specific documentation for refunds., • Knowledge of EPIC, preferred, • Full knowledge of ICD9/10 and CPT coding, • Knowledge of HIPPA, • Full knowledge of Third Party Billing (use of modifiers and COB rules), • Proficient in MS Office (Word and Excel), • Working knowledge of all insurance and/or government rules regarding payment, credit procedures, claims submittal and appeals process, • Knowledge and utilization of Third Party Websites, • Ability to read and correctly interpret Explanation of Benefits, • Ability to work efficiently both independently and in a team environment, • High School Diploma or GED, at minimum, • Some college preferred, • Three (3) years healthcare billing, reimbursement or collections