Job Description

Job Description

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POSITION SUMMARY

This position performs research, analysis, and review of billing data, for the purpose of report preparation and/or data analysis, as requested by Billing Management. Works with the billing team to provide problem resolution for billing issues of any type. Acts as an operational resource to actively and consistently promote operational efficiencies within the reimbursements team using trend analysis and data driven logic. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.

CORE FUNCTIONS

1. Prepares financial and production reports and performs analysis as needed by management. 

2. Supports the identification and communication of billing and reimbursement issues. Efficiently synthesizes diverse and complicated billing information for the purpose of driving staff production, enhancing revenue, escalating trends, and drawing valid and actionable conclusions. 

3. Supports the ad hoc auditing of reimbursement related financial transactions; interpretation, review, and actionable analysis of aging, cash flows, adjustments, and other accounts receivable related reporting data. 

4. Collaborates with both external areas of the organization and separate areas of revenue services in an effort to actively research and resolve billing issues with a strong emphasis on root cause identification, process efficiency and revenue enhancement.

KNOWLEDGE, SKILLS AND ABILITIES

• Knowledge of billing, insurance, computer systems, analytical software, and medical billing processes.

• Excellent mathematical & probability skills.

• Ability to prioritize and complete multiple tasks.

• Basic working knowledge of Microsoft Office Suite, coding languages (i.e. Python, SQL), robotic process automation (i.e. Automation Anywhere) & data visualization (i.e. Tableau).

MINIMUM QUALIFICATIONS

• Bachelor’s degree in finance, accounting, data analysis or equivalent professional experience.

• Demonstrated intermediate working knowledge of Microsoft Excel.

• Demonstrated ability to think analytically and conceptually.

• Demonstrated ability to communicate complex issues using strong verbal and written aptitude clearly and efficiently.

PREFERRED QUALIFICATIONS

• Master’s Degree in related field of business or data analysis.

• Extensive knowledge of clinical laboratory operations & revenue cycle management.

• Additional medical billing/insurance related experience.

• Advanced working knowledge of Xifin, Microsoft Access, Microsoft SQL Server, Tableau, Python, Automation Anywhere.

• Thorough knowledge of HTML and relational database concepts.

• Knowledge of Six Sigma and project management concepts and other analytical tools. 

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EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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