Identifies, analyzes, and reconciles billing errors or omissions.
Ensures proper charge capture, billing, and adjudication of claims in accordance with federal, state and private billing guidelines.
Monitors Discharged Not Final Billed (DNFB) to determine necessary actions required to minimize the volume and value of accounts being held.
Responsible for analyzing and escalating themes for payer relation bulk resolution.
Obtains and compares data from multiple sources and reviews for discrepancies using various applications.
Supports the Patient Financial Services department with performing complex process and system analysis.
Provides guidance, communicates, and serves as subject matter expert for assigned service line related to the billing and collections process.
Assists with special projects as assigned by Revenue Cycle Leaders.
Other duties as assigned.

Bachelor’s degree or equivalent years of relevant experience in hospital or physician billing office.
Two years of experience in hospital or physician billing office
required
Knowledge of Hospital/clinic billing and collections.
Payor remittances and knowledge of CPT’s, HCPCS, and Revenue Codes.
Major insurance companies' billing policies to ensure compliance.
Reconciling and balancing of payments received against account receivables.
Medical terminology.
Skills in Critical thinking skills (analyzing, problem-solving, troubleshooting)
Organizational skills
Oral and written communication skills
Ability to Collaborate within cross-functional teams.
Complete data entry for a lengthy amount of time
Work on different projects simultaneously, in a fast-paced setting with overlapping commitments and deadlines.

Patient Financial Services Analyst

Key skills