| Opportunity Number: | 22916947 | | Company Name: | TERROS, Inc. | | Location: | Phoenix, AZ US | | Category: | Healthcare & Medical | | | Updated: 8/29/2010 |
Billing/Reports Analyst
| Billing/Reports Analyst
Department: Billing
Schedule: Fulltime
Shift: Day
Hours:
Job Details:
* BA or Equivalent
* 1 to 2 years related experience
*
Summary
The Billing Analyst will be responsible and report to the Director of Billing & A/R for the tasks required in analyzing, monitoring & submission of billing/AR. Analysis of billing and A/R is conducted through analysis of reports, review and analysis of processes and procedures, including trend analysis. This position requires knowledge of accounts receivable, its processes and procedures. Excellent analytical skills are a must. This position requires EXCEL and ACCESS skills. Communication & teamwork skills are a must. Must be able to work in a culturally diverse environment.
Job Duties:
-Process and submit claims file to Magellan weekly, reviewing file prior to submission for permanent IDs.
-Prepare weekly Magellan claims submitted and unsubmitted reports for Director, including issues or problems that effect ability to bill all claims
-Prepare weekly statistical reports from EOB showing paid, pended and denied claims/dollars including YTD status of production versus encountered and a denied analysis for review by Director.
Minimum Requirements:
· Bachelors Degree or equivalent experience in finance, accounting, or business administration and at least two ears experience in finance, auditing, corporate compliance, or contracts preferably in a behavioral health managed care environment.
· Knowledge of basic requirements for documentation of behavioral health services, clinical operations, and treatment of mental and substance abuse disorders.
· Knowledge of general rules and regulations governing federally funded clinical programs. Standards of care related to the provision of behavioral health service and their taxonomy. Utilization review/quality assurance principles and terminology.
· Ability to work well independently and with little need for supervision. Identifying and analyzing problems and recommending solutions.
· Possess excellent analytical skills. Ability to process electronic reports. Proficient in Word and Excel.
· Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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