Practice Billing Analyst
Full Time Columbus, Ohio AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions with the goal of making world-class specialty care accessible and affordable to all. We partner with health systems, community health centers, plans, and employers to remove barriers to care to ensure all people have access to the care they deserve. We are looking for a skilled Practice Billing Analyst with experience in rheumatology or infusion practices work with our partners to take care of the company's billing operations.
The ideal candidate will be well-versed in navigating the complexities of various payer coverages—including Medicaid, Medicare, commercial, and specialty payers—to ensure accurate and timely reimbursement. This is an exciting opportunity to join a growing practice dedicated to delivering the highest quality of care for patients with rheumatologic conditions.
What you’ll do in the role:
- Review and accurately code office visits, infusions, and other rheumatology-specific services using CPT, ICD-10, and HCPCS codes.
- Ensure compliance with regulatory guidelines and payer policies, including Medicaid-specific requirements.
- Prepare, submit, and track claims to multiple payers (Medicaid, Medicare, commercial, etc.) in a timely manner.
- Monitor the status of claims, identify denials or underpayments, and promptly initiate appeal or correction processes.
- Manage accounts receivable and follow up on overdue balances.
- Collaborate with internal staff (providers, nurses, infusion specialists) to obtain necessary documentation for claims submission.
- Maintain accurate and complete patient billing records.
- Stay updated on federal, state, and payer-specific billing regulations, including the latest changes in Medicaid guidelines.
- Provide patients with clear explanations of their financial responsibilities and insurance coverage.
- Address patient billing inquiries promptly and professionally, ensuring a positive patient experience.
- Work closely with clinical teams and practice management to streamline billing workflows.
- Participate in staff training sessions to enhance overall compliance and efficiency within the billing department.
Other Skills or Qualifications:
- 3+ years' experience of working on a Billing Analyst or similar accounting position
- Good practical experience with electronic billing procedures
- Excellent knowledge of MS Office٫ particularly especially Excel
- Familiarity with databases and SQL
- Strong communication and teamwork skills
- Good organizational and time-management skills
- Responsibility٫ close attention to detail٫ ability to meet tight deadlines
- BSc or BA degree in accounting or similar area
Here’s what we’d like to offer you:
- Equal investment and support for our people and patients.
- A fun and ambitious growing environment with a culture that takes on important things, takes risks, and learns quickly.
- The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together.
- A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer.
- We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally.
- Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, Paid time off, Short- and Long-Term Disability, and more.
