Billing Operations Analyst

2 weeks ago


San Leandro, California, United States LanceSoft, Inc. Full time

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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