Billing & Coding Claims Analyst

Company
BLS
Job Type
Full-Time Regular
Location
Crescent Springs KY
Recruiter
Gretchen Traylor
Phone:
859.441.0597
Email:
gtraylor@onlinebls.com

Position Summary: Primarily responsible for serving as a Subject Matter Expert in the area of hospital billing and coding.

Essential Duties and Responsibilities:

  • Serve as a billing analyst within the Billing and Coding Department
  • Collect and analyze data for the purpose of identifying coding errors that have resulted in incorrect reimbursement
  • Investigate and research new billing opportunities and apply opportunities across other departments and regions
  • Present information and ideas in a small group setting
  • Work in tandem with analysts and Managers in other departments to quantify/qualify areas of opportunity
  • Provide correction recommendations to internal and external associates and clients
  • Stay current on industry billing changes and communicate relevant information to all BLS departments
  • Review insurance contracts to gain thorough understanding of payment methodologies
  • Examine claims and calculate reimbursement based on contract terms to determine accuracy of payment through use of various reports and supporting documentation
  • Contact insurance company to obtain missing information, explain and resolve underpayments and arrange for payment or adjustment processing on behalf of client
  • Prepare and submit correspondence such as letters, emails, faxes, online inquiries, appeals, adjustments, reports and payment posting
  • Maintain regular contact with necessary parties regarding claims status including payors, clients, managers and other BLS personnel
  • Build strong, lasting relationships with clients, payors and BLS personnel
  • Attend client, department and company meetings
  • Comply with federal and state laws, company and department policies and procedures

Essential Skills and Experience:

  • CPC and 3 or more years of coding experience required
  • Advanced knowledge of Managed Care, Medicare and Medicaid billing and reimbursement
  • Ability to define problems, collect data, establish facts and draw valid conclusions
  • High School diploma or equivalent
  • Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook
  • Mathematical skills: ability to calculate rates using addition, subtraction, multiplication and division
  • Ability to read and interpret an extensive variety of documents such as contracts, claims, instructions, policies and procedures in written (in English) and diagram form
  • Ability to present written routine correspondence (in English)
  • Ability to present ideas on complex, detailed issues with ease
  • Ability to define problems, collect data, establish facts and draw valid conclusions
  • Strong customer service orientation
  • Excellent interpersonal and communication skills
  • Strong team player
  • Commitment to company values

Nonessential Skills and Experience:

  • Minimum 2-years related experience and/or training
  • Medical terminology
  • Experience working with various codes such as CPT, ICD-9/10
  • Related Professional License/Certification(s)
  • Associate or Bachelor's Degree(s)

Disclaimer: BLS salaries are intentionally not posted and are based on level of experience. Some sites arbitrarily post salaries but are not an accurate representation.

Candidates must be currently and in the future authorized to work in the United States on a full-time basis. Bottom Line Systems does not sponsor candidates for permanent residency.