Billing Analyst

4 weeks ago

Lewisville, United States Medix™ Full time

Responsibilities:

  • Review and resolution of rejected claims in the clearinghouse portal.
  • Request Service tickets to correct payer claim formatting or claim data points.
  • Audit of Offshore Team and calibrate Offshore Quality Auditors.
  • Review of NextGen tasks assigned to Region Billing task group.
  • Review of NextGen weekly and monthly NextGen claim oversight reports.
  • Coordinate with Provider Enrollment Team for provider claim data and effective dates and
  • update provider billing data on claims.
  • Review returned paper claims for correct mailing address and request payer code updates as
  • needed.
  • Research claims formatting issues and submit service requests to update claims
  • formatting.
  • Respond to customer service issues sent by the Patient Financial Services team.
  • Make additional efforts on high balance accounts by make calls to any or in combination to any of the following: patient, hospital, payer.


Must Have Skills/Qualifications


  • 3+ Years clearinghouse rejections
  • Very strong grasp of coverage, dependence, errors in portals, updating patient/dependent information, invalid zip codes, wrong demographic information, claim logic problem (billing and insurance verification).


Schedule Shift:

Mon-Fri 8am-4:30pm (3 days remote, 2 onsite)

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