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Medical Billing Systems Analyst
4 months ago
- Lead client onboarding to ensure all tasks are completed prior to Go-Live
- Manage healthcare EDI operations, implementations, and customer support for EDI systems
- Update insurance fee schedules into billing system
- Conduct regular review and analysis of ERAs to ensure no gaps in payers loading
- Identify opportunities for improvement within the billing system
- Train and coach support team for rapid resolution of processing issues
- Oversee support of our Enterprise Content Management (ECM) system
- Manage payer updates and troubleshoot system issues
- Support HL7 Interface
- Collaborate with the IT department to ensure the smooth integration of new technologies and upgrades related to billing systems
- Develop and implement best practices for billing processes to optimize efficiency and accuracy
- Provide guidance and support to the team on complex billing inquiries and escalations
- Conduct regular audits to ensure compliance with billing and insurance regulations
- Stay updated with industry trends and changes in billing practices to ensure the company remains compliant and competitive
- Foster a positive and collaborative work environment within the team
Qualifications and Requirements:
- Thorough knowledge and working experience of CPT, HCPC, and ICD10 codes, HCFA 1500 claim forms, HIPAA, medical billing and insurance regulations
- Experience with automated billing systems and data management systems
- Strong management skills with the ability to manage staff and respond to support requests professionally and in a timely manner
- Experience with Massachusetts-based and national insurance plans is a must
- Knowledge of the Harris CareTracker billing system is a plus
- Understanding of HL7 interface messaging
- Excellent attention to detail and commitment to quality
- Strong problem-solving skills and ability to adapt to change
- Resourcefulness and willingness to assist colleagues
- Strong organizational skills
- Ability to navigate challenging circumstances without panic
- Motivation to achieve personal success and contribute to company goals
- Team player attitude, self-confidence, and general optimism
- Flexibility to assist with various company tasks as needed
Additional Information: This is a full-time position available for immediate hire. Resumes that do not match the job requirements outlined will not be retained.
