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Revenue Cycle Analyst II Job in Columbus, Georgia

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Job Title: Revenue Cycle Analyst II

Employer:ZOe Pediatrics
Type:FULL TIME
Skills:Billing,Auditing,Pediatric Billing & Coding,Scrubbing Claims
Specialties:Medical Billing, Medical Coding, Pediatric Coding
Required Certifications:CPB,CPC
Preferred Certifications:CPB
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location:3031 Williams Rd Columbus 31909, GA, US
Date Posted:12/22/2020

ZOe Pediatrics looking for an experienced Pediatric Medical Biller to fill our Revenue Cycle Analyst II position. This role ensures accurate processing and timely submission of claims and requires the use of problem solving, accuracy in billing/coding, and ability to meet daily goals and deadlines.

The Revenue Cycle Analyst II position is an onsite, full-time position. This position is 8 hours/day, 40 hours/week, Sunday - Saturday.

After 90 days of employment, this position is eligible for the standard company benefits package which includes medical insurance, PTO, and paid holidays.

Education/Experience

· High School Diploma or equivalent

· Minimum 1 year Pediatric/Family Medicine Medical Billing and Coding

· Minimum 1-year Medical Terminology

· Preferred Certification or Diploma in Medical Billing and Coding

  • Working knowledge of basic computer functions
  • Working knowledge of math including percentages
  • Strong Knowledge of billing for multi-specialty (Family Medicine & Pediatric )
  • Proficiency with electronic medical records (EMR)
  • Knowledge and expertise of medical terminology, CPT and ICD10 coding and third-party billing
  • Knowledge of Manage care billing experience
  • Able to multi-task and meet tight deadlines
  • Ability to read, interpret and understand explanation of benefits (EOB) for various insurance
  • Ability to work with others or independently

· Must have valid Driver’s License and reliable means of transportation

Key Responsibilities are but not limited to:

  • Review eligibility and verify benefits
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and AL/GA Medicaid
  • Responsible for pre-authorizations and referrals for procedures
  • Follow up on unpaid claims
  • Review insurance payments for accuracy
  • Research denied claims
  • Update spreadsheets and billing software
  • Make outbound calls to insurance companies regarding any payment discrepancies
  • Tracks and posts payments to determine correct payment and patient balances
  • Work and track denials and appeals as well as determine the root cause.
  • Keeping A/R under 45 days
  • Responsible for efficiently and accurately posting insurance and patient payments in the practice management system (including checks, EFT and credit card payments)
  • Reconcile payments posted
  • Resolve payment research inquiries
  • Assign proper adjustment transaction codes to contractual write offs and denials
  • Pull EFT back-up (EOBs)
  • Review and bill current claims within timely filing limits
  • Post both insurance and patient payments
  • Enter/Correct patient demographics
  • Participates in audits, special projects as they arise, and other duties as assigned

Physical Requirements

· Frequent mobility, standing and/or sitting for extended period

· Frequent bending and stooping required

· Requires the frequent handling of materials

· Occasional weight-bearing may exceed 25 lbs.

License:

  • Driver's License/Transportation (Required)
  • AAPC/CPB (Preferred)

*Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

ZOe Pediatrics is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

Applying

Lucy Chaney
Director of Compliance and 
Platform Management
Patient Safety Officer
ZÖe Center for Pediatrics and Adolescent Health, LLC 
lucy@zoepeds.com
(Office) 706-938-0990
(Fax) 706-647-3861

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