The Billing Analyst is responsible to analyze, monitor and control billing processes through key indicator and data control reports to ensure the integrity of billing data. Applications utilized are: Word, Excel, Crystal, OBR, GPMS, RDS, BabySteps, SounData, Onbase, E-Mail, the Internet, Master Database, and Imaging.
Analyze the cause of all billing errors.
Complete daily Tie Out process of all interfaces.
Validate weekly uploads from SounData interface.
Monitor daily EPM Exception report and work with Practice to resolve any open issues.
Validate daily ximport of data from OBR to GPMS.
Complete daily edit reports for OnBase scanning. QC scanned batches for validation of completeness.
Continuously monitor and audit the billing control processes and operations.
Perform coding clean-up when required.
Participate in weekly Claims Manager meetings.
Participate in Regional meetings for edit evaluation, as required.
Perform end of month process.
Work special projects at the Billing Operations Manager discretion.
Perform testing for all system upgrades. Validate upgrades in production once implemented.
Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.
Performs other job-related duties within the job scope as requested by Management of Patient Accounts.
Embodies the principles of the corporate Mission Statement and Philosophy at all times.
Complies with departmental and company-wide policies and procedures.
Benefits for Full Time employee and qualified dependents:
*Part Time Regular employee classifications also receive this benefit.
** Available to part-time regular and part-time casual employees age 21 and over.
Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.
Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
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