Allegheny Health Network Careers

SVMG Billing/Reimbursement Analyst
Full Time-80hrs pay


OBJECTIVE: Performs billing and follow-up necessary to reconcile patient accounts.  Answers incoming inquires from patients, payers and clinic offices.  Performs data entry and posts payments.  Assists with special projects as needed.

REQUIREMENTS
One year certificate from college or technical school; three to five years related experience and/or training; or equivalent combination of education and experience. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence.  Ability to speak effectively before groups of customers or employees of organization. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.  Ability to apply concepts of basic algebra and geometry. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Required: Microsoft Excel, Microsoft Outlook, Microsoft Word 1-3 years of medical billing and collection experience required; working knowledge of medical terminology, ICD-9 and CPT coding required. ICD-10 preferred. Excellent analytical, organizational, communication and interpersonal skills.  Working knowledge of various commercial health and governmental payers.

RESPONSIBILITIES
Billing all insurance carriers on a timely basis; submit claims with appropriate documentation when necessary.
Analyzes the accounts receivable and performs follow up on outstanding accounts; Work collection of past due accounts weekly, follow-up on payment arrangements Billing and collection of patient accounts; post payments to patient accounts. Works collaboratively with Practice Managers, office associates, and Leadership to ensure tiemly and efficient resolution to outstanding accounts Knowledge and use of Basic Excel, Word and Outlook
Corresponds with payers to reconcile outstanding balances. Prepares written appeals when necessary Ability to respond to questions from groups of managers, patients, customers, general public and coworkers;  Ability to work as a team Identifies payment errors or denials and resubmits corrected claims Completes cash control logs as instructed
Serves as a resource to the physicians and associates for up to date coding, reimbursement and payer information Responds to providers and coworkers questions regarding billing issues Timely and accurate documentation on follow-up work Ability to apply basic algebra and geometry
Ability to calculate figures and amounts such as discounts, interest, commission, percentages etc.... Prioritizes well and good time management skills Analyzes third party payment activity.  Communicates trends
Assist patients with questions regarding insurance and/or account balances
Balances and settles credit card transactions Performs data entry as needed
Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations
Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form Ability to solve practical problems and interact with a variety of concrete variables Answer correspondence and/or telephone inquires from insurance companies Arranges for coverage as needed Respect of fellow associates, patients and leadership Meets departmental productivity goals as instructed. Assists with related special projects and other duties as assigned
Use of personal computer and related equipment. Commitment to the Mission and Vision of Saint Vincent Health System.  Core Values (Compassion, Excellence, Integrity, Dignity, Social Responsibility, and Stewardship) and Code of Conduct. Maintains a positive and objective customer service approach and attitude even when confronted with difficult situations, Must be flexible and open to change.