Billing Analyst

Location
Silver Spring, Maryland-Silver Spring
Posted
Aug 19, 2020
Closes
Sep 19, 2020
Ref
190001VA
Function
Nurse
Industry
Healthcare
Hours
Full Time
The Billing Analyst is responsible for the review of physician billing in PPM to assure demographic, insurance and charge entry is performed accurately . H/She will train Clinic and Business Operations staff in the correct methods to use the PPM system and its related systems.

Qualifications

Minimum Education
Bachelor's Degree (Required)

Minimum Work Experience
1 year - Physician billing, registration and clinic operations experience with 1 year of automated systems experience (preferably PPM/ST AR). (Required)

Functional Accountabilities

Billing
1. Review Untagged Report to correct charges that have not posted to patient's account for billing.
2. Provide assistance to Business Operations and Clinic Registration/Charge Entry staff in resolving difficult accounts.

Quality Control
1. Review demographic, insurance and charge entries to assure correct input and system compliance.
2. Compile and report results of quality review work.
3. Test new software releases to determine functional capabilities and potential problems.
4. Monitor error trends to determine staff and system issues that need to be corrected.

Staff Education
1. Provide input assistance to Business Operations and Clinic staff.
2. Collaborate with clinical departments to ensure accuracy in demographic, insurance and billing.
3. Train providers and other staff in appropriate data entry procedures.
4. Perform special projects as required.

Safety
1. Speak up when team members appear to exhibit unsafe behavior or performance
2. Continuously validate and verify information needed for decision making or documentation
3. Stop in the face of uncertainty and takes time to resolve the situation
4. Demonstrate accurate, clear and timely verbal and written communication
5. Actively promote safety for patients, families, visitors and co-workers
6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities
Organizational Accountabilities (Staff)


Organizational Commitment/Identification

1. Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

1. Demonstrate collaborative and respectful behavior
2. Partner with all team members to achieve goals
3. Receptive to others' ideas and opinions

Performance Improvement/Problem-solving

1. Contribute to a positive work environment
2. Demonstrate flexibility and willingness to change
3. Identify opportunities to improve clinical and administrative processes
4. Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

1. Use resources efficiently
2. Search for less costly ways of doing things

Safety

1. Speak up when team members appear to exhibit unsafe behavior or performance
2. Continuously validate and verify information needed for decision making or documentation
3. Stop in the face of uncertainty and takes time to resolve the situation
4. Demonstrate accurate, clear and timely verbal and written communication
5. Actively promote safety for patients, families, visitors and co-workers
6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Children's National Health System is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law.

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