Billing Analyst

Full Time
Ladysmith, WI 54848
Posted Today
Job description

The Billing Account Analyst is responsible for resolving variance/denials using critical thinking, analytical skills, and appropriate decision making to resolve accounts. The Billing Account Analyst applies pertinent Family Health Center Inc., protocols, and processes in problem solving but has the ability to respond to unique cases in which clear policy and procedures are not always established. The Billing Account Analyst maintains a thorough knowledge of carrier policies, direct contracts, subscriber benefits, non-covered services, coding, diagnosis issues, and accounts receivable. A high degree of professionalism and accuracy regarding written and verbal communication between internal and external customers is expected.


JOB QUALIFICATIONS

EDUCATION
Education qualifications must be from a school whose accreditation is recognized by Marshfield Clinic Health System.
Minimum Required: High school diploma or equivalent and successful completion of the following courses, per departmental procedures, within one year of hire:
  • Dental: diagnosis, code on dental procedures and nomenclature (CDT) and medical terminology.
  • Patient Financial Services (PFS) - Professional: diagnosis, current procedural terminology (CPT) and medical terminology.
  • Patient Financial Services (PFS) - Facility: diagnosis and medical terminology.
  • Pharmacy: None

Preferred/Optional:
High school diploma or equivalent and successful completion of the following courses, per departmental procedures, at time of hire:
  • Dental: diagnosis, code on dental procedures and nomenclature (CDT) and medical terminology.
  • Patient Financial Services (PFS) - Professional: diagnosis, current procedural terminology (CPT) and medical terminology.
  • Patient Financial Services (PFS) - Facility: diagnosis and medical terminology.
  • Pharmacy: None

EXPERIENCE
Minimum Required: Two years’ experience in a medical business office, healthcare, pharmaceutical setting or comparable experience.

Preferred/Optional:
Experience specific to the department hired within.

CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position, which must be maintained in good standing:
Minimum Required: For positions hired within the dental centers, Basic Life Support (BLS) awarded by the American Heart Association or the American Red Cross within one year of hire.


Preferred/Optional:
None



Monday - Friday; 8:00am - 5:00pm
40 hours per week with some overtime, as needed

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