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Healthcare, Home Healthcare, Health Technology

Junior Billing & Record Analyst

Ponce, PROnsiteFull TimeJunior / Entry-levelPosted 1 month ago

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Required skills

  • MS Office
  • Word
  • Excel
  • Outlook

Role summary

The Junior Billing and Record Analyst is responsible for ensuring the accuracy and completeness of invoicing documents before they are sent to the Billing Department. This role involves validating documents from Pharmacy and Case Management, following up on record completion, and liaising between departments like Pharmacy, Billing, Finance, and Metro Pavia. Key duties include auditing cases for proper invoicing and payment, reviewing authorization letters, and digitizing patient documents. A required Associate degree in Medical Billing or certification, along with 1+ years of experience in medical billing or case coordination and proficiency in MS Office, are necessary for this position.

The Junior Billing and Record Analyst will be responsible for validating and auditing that the required documents for invoicing are accurate and complete before they are sent to the Billing Department.

Responsibilities:

  • Validate that the documents processed by the Pharmacy and Case Management departments are accurate and complete before being sent to the Billing Department. 
  • Follow up with Coordinators to ensure completion of their records. 
  • Ensure that all provided cases have been sent for billing.
  • Tabulate and review administrative cases to ensure proper invoicing. 
  • Validate and audit consultation cases for correct payment. 
  • Review authorization letters and ensure they contain the necessary and accurate information.
  • Refer incomplete or modified authorization letters to medical plans and provide follow-up. 
  • Validate the receipt of payment agreement letters, if required. 
  • Check that co-payments have been communicated to patients during the Coordination process.
  • Act as a liaison and provide support between the Pharmacy, Billing, Finance, and Metro Pavia. 
  • Responsible for digitizing patient documents on the platform.
  • Assist in special projects as requested to meet the company's needs. 
  • Assist in preparing patient payment agreements, quotes, or receipt evidence. 

Required: 

  • Associate degree in Medical Billing or Medical Billing Certification.
  • 1+ years of previous experience in medical billing or case coordination.
  • Excellent skill with MS Office including but not limited to Word, Excel, and Outlook.

***Equal Opportunity Employer M/F/V/D***

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