Data Analyst

• Billing and Claims Processing:

• Prepare and submit accurate insurance claims to various payers, including Medicare, Medicaid, and private insurance companies.

• Review and verify patient information and billing codes to ensure accuracy and compliance with regulatory requirements.

• Monitor and follow up on unpaid or denied claims, correcting and resubmitting them as necessary.

• Maintain detailed records of billing activities and transactions.

• Analytical and Reporting Responsibilities:

• Generate detailed reports on billing activities, accounts receivable, and revenue cycles for management review.

• Analyze billing data to identify trends, areas for improvement, and potential issues.

• Develop and implement strategies based on data analysis to enhance billing processes and reduce errors.

• Conduct financial analysis and modeling to support strategic decisions.

• Patient Account Management:

• Manage patient accounts, including sending invoices, processing payments, and resolving billing inquiries.

• Assist patients in understanding their bills, insurance coverage, and payment options.

• Negotiate payment plans with patients when necessary and follow up on outstanding balances.

• Compliance and Documentation:

• Stay current with industry regulations, insurance guidelines, and coding practices to ensure compliance.

• Maintain accurate and up-to-date patient records, including all billing-related documentation.

• Conduct regular audits of billing activities to identify and correct any discrepancies.

• Coordination with Other Departments:

• Collaborate with healthcare providers, coding specialists, and administrative staff to ensure accurate billing and efficient workflow.

• Provide support to the finance team with month-end closing processes and financial reporting.

• Technology and System Management:

• Utilize billing software and electronic health record (EHR) systems to manage billing processes.

• Ensure all billing systems are updated and functioning correctly.

• Leverage analytical tools and software to improve data accuracy and process efficiency.

• Education:

• Bachelor’s degree in Finance, Accounting, Business Administration, Data Analytics, or a related field. Relevant work experience may be considered in lieu of a degree.

• Experience:

• Minimum of 1 to 3 years of experience in healthcare billing or medical billing with a strong focus on data analysis.

• Familiarity with ICD-10, CPT coding, and medical terminology.

• Proven experience with electronic health records (EHR) and billing software systems.

• Demonstrated experience in financial analysis and data-driven decision making.

Teleradiology Solutions