Top 3 Billing analyst Jobs in Napa, Ca

Claims Analyst II (On-Site)
Northbay Healthcare —Fairfield, CA
- $33.29 an hour
- Full-time
- Microsoft Excel
- Writing skills
- Research
Accountant/Billing Analyst
Center Point, Inc —San Rafael, CA
- $30 - $36 an hour
- 8 hour shift
- Mid-level
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
1d

More jobs to discover

Find similar jobs that you might be interested in.

Accountant/Billing Analyst
Center Point, Inc —San Rafael, CA
A four-year degree in accounting or related field from an accredited college or university; or equivalent combination of education and experience.
$30 - $36 an hour
Quick Apply
1d
Materials Project Coordinator
Terracon —Concord, CA
A valid driver’s license with acceptable violation history may be required. Perform other engineering support tasks including development of drawings and…
$35.43 - $49.73 an hour

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Remote E-Billing Analyst
Williams Lea —Columbus, OH
Liaise with billing attorney/secretary, and client representatives in the resubmission of invoices; ensure corrective action is in place for future submissions.
$26 - $28 an hour
Medical Billing 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

Show more jobs in cities nearby

I want to receive the latest job alert for billing analyst in napa, ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

billing analyst jobs near napa, ca

Entry Level Business Analyst jobs in Fairfax, VA

Senior Claims Analyst jobs in Chicago, IL

Claims Adjuster jobs in Florida

Senior Claims Analyst jobs in Los Angeles, CA

Senior Living jobs in Chattanooga, TN

Senior Claims Analyst jobs in New Jersey

Senior Claims Analyst jobs in Philadelphia, PA

Billing Analyst jobs in Philadelphia, PA

Kyc Analyst jobs in New York, NY

Billing Analyst jobs in Las Vegas, NV

Billing Analyst jobs in San Francisco Bay Area, CA

Policy Analyst jobs in San Antonio, TX

Billing Analyst jobs in New Hampshire

Claims Analyst II (On-Site)

Northbay Healthcare -
Fairfield, CA

Apply Now

Job Details

Full-time
$33.29 an hour

Qualifications

Customer communication
Vendor contracts
Crystal Reports
Microsoft Excel
Writing skills
CMS
Employee relationship building
Research
Contract management experience in healthcare
Medical claims processing software
ICD-9
Contracts
Productivity software
Healthcare IT
Medical terminology
Payment processing in medical billing systems
Cross-functional communication
DRG

Full Job Description

At NorthBay Health, the Claims Analyst II is responsible for independently completing all tasks in claims adjudication, including processing adjustments. The position is co-responsible for the operational functions for the organization’s capitated hospital and medical group business, processing all claims, oversees customer service issues, researching/resolving payment issues and addressing corrections in the system with the Claims Specialist.

PRIMARY JOB RESPONSIBILITIES

Generates Department reports that are utilized weekly by the Claims Specialist position to track timely payment of claims.
Oversees the production of encounter data analysis and processing.
Lead point of service intake for all claims issues.
Claims preparation for determination of payment. Addresses corrections in the claim system and in operational processes.
Oversees grievances and provider dispute resolutions in partnership with the Claims Specialist position.
Oversees the preparation of denial letters to members.
Oversees the refund process and the request of refunds/overpayments from providers. Maintains claims files and other recordkeeping systems
Assists Senior Analyst IV and Director and other staff as requested
Interacts and communicates effectively inside and outside NorthBay Healthcare.
Oversees Managed Care claims in-service training to internal and external NorthBay providers.
Acts as subject expert on managed care claims payment practices.
Negotiates letters of agreement with non-contracted providers as requested/needed by Utilization Management.
Interacts with HIM, IT and outside vendors to research system issues.
Manages provider adds and modifications in the Managed Care billing system.
Provides feedback to the department management and claims staff about findings, identifying and performing needed corrective action and process improvement.
Conducting audits of the claims payment system data and report results.
Collaborates directly with the Managed Care team on the performance of check runs for referred claims providers.

Hours of Work : Full-time, non-exempt.

REQUIRED:

Associate’s degree required or minimum 4 years of health care claims experience.
Four years of experience in claims payment systems required.
Strong experience in healthcare reimbursement mechanisms required.
Knowledge of medical terminology.
Knowledge of CPT, ICD-9, DRG and Revenue Codes.
Knowledge of CMS 1500 and UB04 Forms (including POT and POS codes).
Knowledge of Coordination of Benefits Rules.
Knowledge of personal computers with experience in Microsoft word, excel and crystal programs required.
Solid knowledge of computer programs related to claims processing. Effective writing and verbal skills; Knowledge relating to payer contracts and vendor subcontracts.
Effective problem solving skills. Requires a high comfort level with taking initiative and responsibility, high energy and productivity, plus an orientation and ability to manage details in an organized work style.
Working knowledge of DMHC guidelines regarding claims processing.
Strong knowledge of computerized claims processing programs.
Ability to identify Third Party Liability Claims.
Ability to organize and effectively managed complex projects independently.
Ability to independently prioritize work, as well as the ability to review, reprice and adjudicate claims quickly and accurately to meet deadlines.
Ability to exercise appropriate independent judgment and effectively solve problems required.
Ability to communicate clearly and effectively, both in listening, talking and writing.
Ability to relate cordially with co-workers, members, providers and others. When taking calls from members or providers, the analyst is required to be able to determine the necessary action to take, such as the appropriate questions to ask, or determine the research necessary to answer questions.

PREFERRED:

Experience with NorthBay’s claims payment system preferred.

Apply Now

Refine Your Search

billing analyst jobs in napa, ca

Claims Analyst II (On-Site)

Accountant/Billing Analyst

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for billing analyst in napa, ca

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected