Top 4 Medical billing analyst Jobs in Columbus, Oh

Reimbursement Variance Analyst
Orthopedic One —Westerville, OH
- Full-time
- Mid-level
- High school diploma or GED
- Commercial
Medical Billing Data Analyst
North Central Mental Health Services, Inc. —Columbus, OH
- From $27 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- AD&D insurance
- Disability insurance
Quick Apply
7d
Epic Resolute Hospital Billing Associate Analyst
Deloitte —Columbus, OH
- $50,000 - $60,000 a year
- Full-time
- Computer Science
- Mid-level
- Bachelor's degree
Epic Senior Systems Analyst - Hospital Billing and Claims
OhioHealth —Columbus, OH
- Full-time
- Azure
- Computer Science
- 3 years

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Medical Claims Clearinghouse Specialist
Orthopedic One —Westerville, OH
Responsible for the accurate entry of physician and ancillary charges into Claims Clearinghouse module. Identifies solutions and responds professionally to…

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Reimbursement Variance Analyst
Orthopedic One —Westerville, OH
Revises Standard Fees to comply with federal & state billing regulations & guidelines. Candidates must have current certification as a Certified Professional…
Medical Billing Data Analyst
North Central Mental Health Services, Inc. —Columbus, OH
Perform accurate and timely charge entry and billing data entry within 24 hours of receipt. Minimum of 5 years of demonstrated experience in medical billing,…
From $27 an hour
Quick Apply
7d

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medical billing analyst jobs near columbus, oh

Reimbursement Variance Analyst

Orthopedic One -
Westerville, OH

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Job Details

Full-time

Qualifications

Customer communication
Spreadsheets
Practice management software
Patient management software
High school diploma or GED
Certified Professional Coder

Full Job Description

POSITION SUMMARY
- Responsible for maintenance of clinic professional charges including updating of procedure and diagnosis codes and associated fee schedule in the practice management system, analysis of reimbursement data to identify and resolve variances, and patient and insurance refunds.
RESPONSIBILITIES AND ACCOUNTABILITIES
- Fee Schedule Maintenance:
  - Updates existing fee schedules with payer allowed amounts annually (or as necessary)
  - Attaches new schedules to all providers, expiring old schedule
  - Monitors CMS & commercial payer websites and transmittals for regulatory changes in reimbursement policies
  - Revises Standard Fees to comply with federal & state billing regulations & guidelines
- Payment Variance Analysis:
  - Runs carrier variance reports and researches payment inconsistencies identified
  - Corrects invalid allowed amounts in corresponding fee schedules
  - Appeals underpayment errors with carriers
  - Identifies & reports carrier trends to Director
- Insurance Overpayments / Refunds:
  - Validates insurance overpayments in demand letters from carriers and refund requests from A/R reps, making appropriate account adjustments as needed
  - Runs monthly credit balance reports to identify patient overpayments, conveys funds when appropriate, and places account in refund status
  - Forwards refund requests to Finance Department staff with supporting documentation
  - Processes patient and insurance refund checks for mailing with appropriate claim reconsideration forms or explanation letter, verifying payee name and address
  - Analyzes overpayment trends and recommend corrective procedures
- Customer Service and Communications:
  - Communicates with patients, insurance carriers and other outside entities in a professional manner. Identifies solutions and responds professionally to patient concerns, i.e., pleasant tone of voice, courteous language, etc. Uses appropriate grammar and demonstrates tact and diplomacy in patient interactions, by phone and in person.
  - Diffuses negative situations with patients and maintains a pleasant and professional tone during stressful circumstances and heavy workload.
  - Communicates with staff members in a professional, pleasant manner; Shares information relevant to work, no gossiping or disparaging remarks, accepts work without complaint or provides reasons why assignment is unmanageable, asks and answers questions related to improving department performance
TEAMWORK
- Teamwork:
  - Willingly provides coverage, volunteers assistance, and maintains workflows within department as needed without direct instruction/supervision.
  - Works cooperatively and refrains from participating in negative conversations.
  - Shares knowledge and insights with co-workers in a constructive manner.
  - Works to solve problems and address conflicts with appropriate person directly before involving leadership or uninvolved peers.
  - Is considerate of others in the work environment with regard to taking breaks or meal periods, use of computer and phone, noise level in the department, etc.
POLICIES AND PROCEDURES
- Policies and Procedures
  - Knows and complies with policies and procedures as enumerated in the Orthopedic One Employee Handbook and policies and procedures documents.
  - Provides assistance and support to leadership in implementing policies and procedures as necessary.
  - Actively participates in training, and conducting day to day work activity by adhering to all policies and procedures as enumerated in compliance and risk management programs.
QUALIFICATIONS
- Education, Experience, Certification and Licensure Requirements:
  - High School Diploma or equivalent required. Previous medical billing experience, preferably in an orthopedic surgery specialty is required. Candidates must have current certification as a Certified Professional Coder. Proficiency with software including practice management systems and Microsoft Excel

Location: Orthopedic One · Patient Accounts
Schedule: Regular Full Time, Day Shift

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Refine Your Search

medical billing analyst jobs in columbus, oh

Reimbursement Variance Analyst

Medical Billing Data Analyst

Epic Resolute Hospital Billing Associate Analyst

Epic Senior Systems Analyst - Hospital Billing and Claims

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