Billing Operations Analyst
2 weeks ago
Position: Billing Analyst
Company: LanceSoft, Inc.
Contract Duration: 25 weeks
Weekly Hours: 40 hours
Certification Required: Coding certification (CPC, CPCH, AHIMA, etc.)
Key Qualifications:
- High school diploma, GED, or equivalent is mandatory; a two-year degree is preferred.
- At least 3 years of prior experience in a Health Plan, IPA, or Managed Care Organization is essential.
- A minimum of 2 years of direct experience in verifying and maintaining provider information and contract configurations in a managed care transaction system is required.
- Familiarity with managed care transaction systems such as EPIC (Tapestry Module), EZ Cap, Facets, or QNXT is necessary.
- Knowledge of CPT-4, ICD-9/ICD-10, and HCPCS coding is important.
- Ability to interpret various instructions provided in written, oral, diagrammatic, and schedule formats, including provider contracts and summaries.
- Capability to follow detailed data entry procedures within a complex Managed Care Transaction System, ensuring high accuracy in alpha and numeric data input.
- Strong organizational skills with the ability to manage tight deadlines and prioritize multiple tasks while maintaining quality standards.
- Proficient in computer applications, particularly Microsoft Excel and Word, along with competent internet navigation skills.
- Exceptional customer service and interpersonal skills, with the ability to collaborate effectively with both internal and external stakeholders.
- Openness to learning new technologies, practices, and procedures.
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