Professional Billing Analyst
3 days ago
Job Description
We are seeking an experienced Professional Billing Analyst to join our team at Stride Healthcare Management LLC. In this role, you will be responsible for managing the full-cycle RCM process for our graft program and other claims as needed for our Podiatry and Ancillary departments.
Responsibilities and Requirements
- 5-8 years prior experience in physician professional billing (Managed Care, Commercial and/or CMS Part B claims adjudication).
- Coding Certification is highly preferred.
- High school diploma/GED.
- Manage high-dollar insurance accounts and identify trends and opportunities for improving yield and workflows.
- Collaborate with product vendors to ensure timely insurance verification and delivery of skin substitute products to patients.
- Investigate and resolve denied claims in a timely manner to reduce AR days.
- Conduct accurate claim scrubbing and submission & work claim edits.
- Analyze medical records and supporting documentation for services billed against coding guidelines and payer requirements.
- Review payments for contract discrepancies and update fees accordingly.
Benefits
- A competitive salary range of $85,000 - $110,000 per year.
- A comprehensive benefits package.
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