Healthcare Claims Analyst

3 months ago

Midlothian, United States Accessia Health Full time

At Accessia Health, our commitment to Compassion, Accountability, Person-Centered Care, and Service isn't just a set of words; it's the foundation of who we are. These values drive us to build strong relationships, foster innovation, and achieve excellence in everything we do.

Summary:

Healthcare Claims Analyst reports directly to the Director of Compliance and supports the organization's healthcare claims processing. This role involves meticulous review and verification of patient assistance claims to ascertain their accuracy and compliance with policies. The Healthcare Claims Analyst will ensure timely reimbursement to patients and healthcare providers for services rendered, while also complying with applicable rules and regulations.

Salary: This role has a target salary of $45,000 to $60,000 annually, based upon various factors including location, experience, and education.

Core Job Responsibilities:

Payment Validation

  • Examine patient assistance invoices, including explanation of benefits and health care claim forms, for accuracy and completeness according to organizational guidelines and relevant laws and regulations.
  • Verify patient account information against program specifications.
  • Analyze procedures and diagnoses using CPT and ICD codes.
  • Support the Patient Services department by responding timely to questions and payment inquiries.
  • Compare and analyze assistance payment requests, partnering with the clinical personnel to understand program guidelines.
  • Contact providers, patients, and other payees as needed to validate documentation.
  • Calculate payments such as claims/invoices and reimbursement claiming, according to established policies and procedures, approving or rejecting claims based on such.
  • Perform quantitative and qualitative analysis of assistance data.
  • Identify and address any errors or discrepancies.
Process Improvement
  • Provide feedback on staff adherence to program guidelines.
  • Collaborate with management to identify and implement the best practices and improvements for patient assistance payment processes and systems.
  • Maintain a thorough understanding of all programs and their requirements.
  • Handle data with confidentiality and adhere to HIPAA regulations.
Desired Education and Experience:
  • Minimum of 5 years of working experience in medical claims processing, analyzing and calculating data
  • Proficiency in medical terminology, CPT and ICD-10 coding and insurance billing procedures
  • Possession of relevant certification in medical coding, such as Certified Medical Coder (CMC) or successful completion of a graduate certification program in healthcare preferred.
  • Familiarity with regulatory requirements for medical billing and coding
Essential Traits:
  • Thorough/Detailed-Oriented Work Method: This trait involves a meticulous approach to tasks, focusing on accuracy and completeness to ensure high-quality outcomes.
  • Fiscally Responsible Mindset: Individuals with this trait conscientiously manage budgets and resources, aiming to maximize value and prevent waste.
  • Analytical Skills and Objective Judgment: This refers to the ability to assess situations, data, and information critically and impartially to make well-informed decisions.
  • Problem Solving/Analysis: Characterized by the ability to identify issues, analyze problems, and devise efficient solutions through logical reasoning.
  • Effective Communicator: This trait denotes the capability to convey information clearly and persuasively, ensuring understanding and engagement among diverse audiences.
  • Collaboration/Interpersonal Skills: Involves working well with others, building positive relationships, and contributing to a team-oriented environment through empathy and interpersonal understanding.
  • Ability to be Flexible Including Adjusting to Changing Priorities and Circumstances: Represents the capacity to adapt to new challenges, shifting deadlines, and evolving goals with resilience and a positive attitude.

Accessia Health is an equal opportunity employer committed to diversity and inclusion in the workplace. We encourage qualified individuals from all backgrounds to apply.

Accessia Health is committed to maintaining a safe and secure work environment for all employees and ensuring the integrity of our hiring process. As part of this commitment, we may conduct background checks and drug screenings on candidates and employees in accordance with applicable laws.

By continuing with the application process or accepting a job offer, you acknowledge that you have read, understood, and agree to the terms outlined in this background and drug screening disclaimer.

  • Healthcare Claims Specialist

    4 weeks ago

    Midlothian, Virginia, United States Accessia Health Full time

    {"title": "Healthcare Claims Analyst Position", "description": "Job SummaryAccessia Health is seeking a detail-oriented and analytical Healthcare Claims Analyst to join our team. As a key member of our compliance department, you will play a critical role in ensuring the accuracy and compliance of patient assistance claims.Key ResponsibilitiesValidate patient...

  • Healthcare Claims Specialist

    2 weeks ago

    Midlothian, Virginia, United States Accessia Health Full time

    Job Title: Healthcare Claims AnalystAt Accessia Health, we are committed to delivering exceptional patient care and services. As a Healthcare Claims Analyst, you will play a vital role in ensuring the accuracy and compliance of patient assistance claims.Key Responsibilities:Validate patient assistance invoices and claims against organizational guidelines and...

  • Medical Claims Evaluation Specialist

    1 month ago

    Midlothian, Virginia, United States Accessia Health Full time

    Job OverviewAt Accessia Health, we are dedicated to our core values of Compassion, Accountability, Person-Centered Care, and Service. These principles guide our mission to cultivate strong partnerships, encourage innovation, and excel in our endeavors.Position Summary:The Medical Claims Evaluation Specialist is responsible for supporting the healthcare...

  • Practice Biller

    3 weeks ago

    Midlothian, Texas, United States Healing Circle Counseling and Services LLC Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Practice Biller to join our team at Healing Circle Counseling and Services, LLC. As a Practice Biller, you will be responsible for managing the day-to-day billing operations, ensuring accurate and timely submission of claims, and maintaining excellent customer service.Key ResponsibilitiesManage...

  • Behavioral Therapist

    3 weeks ago

    Midlothian, Texas, United States Centra Healthcare Solutions Full time

    A great School is looking for an experienced Board Certified Behavior Analyst (BCBA) to contribute to their growing team. Responsibilities and requirements include: **Key Responsibilities:** * Participate as a member of the IEP team * Provide support during IEP meetings as requested **Requirements:** * Proven experience in a School setting * Strong...

  • Travel Nurse Position

    3 weeks ago

    Midlothian, Texas, United States FlexCare Medical Staffing Full time

    Travel Nursing Job OpportunityWe are seeking an experienced Telemetry Registered Nurse for a travel nursing job in Midlothian, VA. This exciting opportunity offers a 16-week assignment with a competitive pay package.About the JobThis travel nursing job requires a Registered Nurse with experience in telemetry care. The successful candidate will work in a...

  • Travel Nurse Position

    4 weeks ago

    Midlothian, Texas, United States FlexCare Medical Staffing Full time

    Travel Nursing Job OpportunityWe are seeking an experienced Telemetry Registered Nurse for a travel nursing job in Midlothian, VA. This exciting opportunity offers a 16-week assignment with a competitive pay package.About the JobThis travel nursing job requires a Registered Nurse with experience in telemetry care. The successful candidate will work in a...

  • Travel Nurse Position

    3 weeks ago

    Midlothian, Texas, United States FlexCare Medical Staffing Full time

    Travel Nursing Job OpportunityWe are seeking an experienced Telemetry Registered Nurse for a travel nursing job in Midlothian, VA. This exciting opportunity offers a 16-week assignment with a competitive pay package.About the JobThis travel nursing job requires a Registered Nurse with experience in telemetry care. The successful candidate will work in a...

  • Travel CT Technologist

    4 weeks ago

    Midlothian, Virginia, United States Supplemental Health Care Full time

    Job OpportunitySupplemental Health Care is seeking a skilled CT Technologist to support a hospital in Warrenton, Virginia.Job DetailsSpecialty: CT TechnologistDiscipline: Allied Health ProfessionalDuration: 13 weeksEmployment Type: TravelAs a CT Technologist with Supplemental Health Care, you will have the opportunity to work with a dedicated team and...

  • Travel Nurse Position

    3 weeks ago

    Midlothian, Texas, United States FlexCare Medical Staffing Full time

    Exciting Travel Nursing Opportunity with FlexCare Medical StaffingWe are seeking an experienced Telemetry Registered Nurse to join our team for a 16-week travel nursing assignment in Midlothian, VA. This is a unique opportunity to work with a reputable healthcare staffing company and gain valuable experience in a dynamic environment.About the AssignmentThis...

  • Travel CT Technologist

    4 weeks ago

    Midlothian, Virginia, United States Supplemental Health Care Full time

    Job OpportunitySupplemental Health Care is seeking a skilled CT Technologist to support a hospital in Warrenton, Virginia.Job DetailsSpecialty: CT TechnologistDuration: 13 weeksEmployment Type: TravelAs a CT Technologist with Supplemental Health Care, you will have the opportunity to work with a dedicated team and provide high-quality care to patients. Our...

  • Patient Access Representative

    1 week ago

    Midlothian, Virginia, United States Ensemble Health Partners Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Patient Access Specialist to join our team at Ensemble Health Partners. As a Patient Access Specialist, you will be responsible for performing admitting duties for all patients admitted for services at the hospital. This includes assigning accurate MRNs, completing medical necessity /...

  • Patient Access Specialist

    2 weeks ago

    Midlothian, United States Ensemble Health Partners Full time

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the...

  • Travel Nurse ICU RN

    2 weeks ago

    Midlothian, Virginia, United States Supplemental Health Care Full time

    Job Title: ICU RN Travel Nursing PositionSupplemental Health Care is seeking a skilled ICU RN for a travel nursing assignment in Camden, New Jersey.Job Description & RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RNDuration: 13 weeksEmployment Type: TravelJob Description:As a travel ICU RN, you will provide care for patients with...

  • Critical Care Nurse

    4 weeks ago

    Midlothian, Virginia, United States Supplemental Health Care Full time

    Job Title: Critical Care NurseSupplemental Health Care is seeking a Critical Care Nurse for a travel nursing job in Camden, New Jersey.Job Description & RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RNStart Date: ASAPDuration: 13 weeksEmployment Type: TravelJob Description:Supplemental Health Care is seeking ICU/CCU RNs in Camden, New Jersey...