Community Health Systems, Inc. – Billing Analyst – Riverside, Ca

JOB SUMMARY:

The Billing Analyst has the responsibility for accurate and timely preparation month end revenue reports, validate rate in system, and analyze key performance indicators for management.  This position will assist the management team with oversight of both the billing and cash application processes by serving as a liaison between the client and other departments.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Ensures quality assurance of claims related to contracts and agreements from Third party payers
2. Ensure all monthly billing data is loaded and accounted for in the billing system
3. Monitors and notifies Billing Supervisor when contract/service are implemented, amended and/or renewed
4. Communicates with and provides reporting to Finance
5. Ensures integrity of data flowing into billing systems is accurate and complete
6. Assist with system balancing process and prepares process documentation
7. Validates rate changes in the billing system
8. Collate and distribute reporting to management
9. Interface with payor to ensure accurate billing rates are utilized that at consistent with payor contract
10. Prepare monthly revenue report within timelines
11. Assist with analyzing key performance indicators
12. Collaborate with billing staff to compile the training materials
13. Assist with various projects and duties as required
14. Follow all corporate financial regulations, policies and procedures
15. Notifies Finance Manager of any trends identified.
16. Assists with maintaining new and existing billing policy guidelines and documented procedures for medical billing.
17. Perform all other duties as directed either formally or informally, verbally or in writing.

SUPERVISORY RESPONSIBILITIES:

No direct supervisory responsibilities

KNOWLEDGE, SKILLS AND ABILITIES:

• Working knowledge of medical terminology.
• Must have the ability to analyze and solve problems, prioritize tasks and work independently
• Must be able to work independently while utilizing strong critical thinking/time management skills.
• Must be able to type 45 words per minute.
• Strong computer skills, with proficiency in Microsoft Office.
• Must possess good “customer service” including verbal and written communication.
• A high standard of professionalism and professional ethics and conduct is expected in speech, manner, attitude and appearance at all times.
• Possess strong interpersonal skills and ability to work well with others.
• Ability to deal effectively with changing situations and stressful environment.

• Ability to perform tasks related to physical activity to complete the responsibilities of the position.

EXPERIENCE AND EDUCATION:

• Strong financial analysis background
• Bachelor Degree or Associate’s Degree preferable with an emphasis in Accounting or Finance
• Medical Billing Certificate from an accredited school preferred
• Prior experience in medical billing, medical insurance and/or customer service preferred