Job summary
The core function of this role is to review/research all claims for accuracy prior to claim submission. Within compliance guidelines, the Insurance Billing analyst updates claims or works with the necessary department to minimize denials, pricing discrepancies, charge issues, and demographic information concerns.
Primary duties and responsibilities
Responsible for high volume, non-specialized billing/edit resolution.
Prepares insurance claims for submission to all third party payers and/or responsible parties.
Reviews claims for accuracy, including proper diagnosis and procedure codes.
Ensures appropriate review of bills and statements before sending out to insurance companies to reduce risks of denial.
Ensures the compliance of billing in accordance with the CCAD and UAE insurance regulations.
Recognizes and resolves billing or coding inconsistencies. Uses clinical and coding knowledge to ensure accurate and compliant charge items.
Performs other duties as assigned.
The core function of this role is to review/research all claims for accuracy prior to claim submission. Within compliance guidelines, the Insurance Billing analyst updates claims or works with the necessary department to minimize denials, pricing discrepancies, charge issues, and demographic information concerns.
Primary duties and responsibilities
Responsible for high volume, non-specialized billing/edit resolution.
Prepares insurance claims for submission to all third party payers and/or responsible parties.
Reviews claims for accuracy, including proper diagnosis and procedure codes.
Ensures appropriate review of bills and statements before sending out to insurance companies to reduce risks of denial.
Ensures the compliance of billing in accordance with the CCAD and UAE insurance regulations.
Recognizes and resolves billing or coding inconsistencies. Uses clinical and coding knowledge to ensure accurate and compliant charge items.
Performs other duties as assigned.
Skills
Experience requirements
Minimum of one (1) year billing experience is required, patient accounting billing system experience is preferred
Knowledge and understanding of patient accounts management, including insurance processing and cash application
Proficient with pcs, spreadsheets and other software applications
Strong oral and written communication skills.
Ability to speak and write in English is required.
Health care industry experience is preferred.
Education requirements
Associate’s Degree in Healthcare related field is required.
Physical demands and work environment
Typical physical demands include a moderate degree of dexterity to produce materials on a computer and mobility sufficient to attend meetings in departments throughout CCAD.
Minimum of one (1) year billing experience is required, patient accounting billing system experience is preferred
Knowledge and understanding of patient accounts management, including insurance processing and cash application
Proficient with pcs, spreadsheets and other software applications
Strong oral and written communication skills.
Ability to speak and write in English is required.
Health care industry experience is preferred.
Education requirements
Associate’s Degree in Healthcare related field is required.
Physical demands and work environment
Typical physical demands include a moderate degree of dexterity to produce materials on a computer and mobility sufficient to attend meetings in departments throughout CCAD.
ORGANIZATION-WIDE COMPETENCY ASSESSMENT REQUIREMENTS
All employees will embrace the CCAD mission, vision and values and be responsible for adhering to the core values of the institution, including: Patient’s First, Collaboration, Mutual Respect, Quality, Patient Safety, Integrity, Cultural Sensitivity and Compassion.
All employees are also expected to meet the standards of performance outlined in the Organization-Wide Competencies listed below as applied to the position.
Customer Service Orientation includes attitude, behavior, interpersonal skill and problem solving that enable an employee to respond to internal and external customer needs and expectations in a positive manner. Adaptability including teamwork, flexibility needed to fulfill job responsibilities, adapting to changes in work environment and accepting supervisory feedback. Efficiency and Effectiveness includes quantity and quality of desired work, as well as organization skills necessary to perform successfully. Essential Job Requirements includes adherence to all relevant policies, procedures and guidelines affecting the work environment, as well as maintenance of required competencies and communication skills. Managerial Responsibilities includes overall accountability for assigned work group relative to operational goals, personnel requirements and budgetary constraints.
All employees are also expected to meet the standards of performance outlined in the Organization-Wide Competencies listed below as applied to the position.
Customer Service Orientation includes attitude, behavior, interpersonal skill and problem solving that enable an employee to respond to internal and external customer needs and expectations in a positive manner. Adaptability including teamwork, flexibility needed to fulfill job responsibilities, adapting to changes in work environment and accepting supervisory feedback. Efficiency and Effectiveness includes quantity and quality of desired work, as well as organization skills necessary to perform successfully. Essential Job Requirements includes adherence to all relevant policies, procedures and guidelines affecting the work environment, as well as maintenance of required competencies and communication skills. Managerial Responsibilities includes overall accountability for assigned work group relative to operational goals, personnel requirements and budgetary constraints.