Job Location: Houston, TX
Every employee, at every level, begins their journey at Memorial Hermann learning about the history of the organization and its established culture built on trust and integrity. Our employees drive this culture, and we want you to be a part of it.
Job Summary
Position is responsible for performing daily analysis and monitoring status of transmitted claims to verify acceptance for adjudication process by payer category.Job Description
An Amazing Billing Data Analyst Opportunity!!!
Memorial Hermann is looking to hire an experience Revenue Cycle professional to work at our Texas Medical Center campus. Potential opportunity to work remotely.
Desired Skill Sets:
- Prefer 3-5yrs Revenue Cycle experience
- Strong Revenue Cycle experience highly requested
- Must have a full understanding of the denial process, language, etc.
- Have understanding of medical coding a plus
- Must be an excellent communicator
- Must be team oriented
Minimum Qualifications
Education: Associates degree or equivalent experience.
Licenses/Certifications: (None)
Experience / Knowledge / Skills:
- Three (3) years hospital business office experience with insurance billing and/or managed care
- Strong analytical and problem solving skills
- Knowledge of ICD-9 and CPT codes
- Proficient PC skills (Word processing, maintenance and design of spreadsheets, maintenance and design of Access data bases, Maintenance of PC’s and Printers within the department)
- Effective oral and written communication skills
- Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of “we advance health” through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.
Principal Accountabilities
- Analyzes daily reports to determine status of transmitted claims shown as accepted for adjudication process by payer category.
- Determines type of errors for unprocessed accounts, corrects errors, and submits for retransmission.
- Communicates with management and staff regarding developing trends reflected in the types of unprocessed claims.
- Tracks and monitors the Discharged – Not Billed report.
- Documents communications with third party payers and internal employees.
- Prepares various compliance, productivity, and status reports.
- Prepares third party billing and remains current in billing and payment requirements.
- Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
- Other duties as assigned.
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