Pinnacle Fertility
Sr. Billing Analyst – Corporate Revenue Cycle Management
We are on a mission to fulfill dreams by building families. We are making fertility more accessible, intuitive, and empowering – for all. We hire high performers, movers, shakers, and innovators! We are growing quickly and care deeply about the development of our team, both professionally and personally. We value collaboration compassion and teamwork. Above all, we are united by our shared value of putting our patients first.
The Sr. Billing Analyst will support our Director, RCM analyzing data and trends to determine opportunities for process improvements and opportunities to increase revenue. In addition, this role will be integral in implementing and maintaining our nAble EMR and billing system across our 25+ fertility clinics nationwide. You will also train on-site billing team members and build collaborative relationships with billing team members and practice leaders to ensure a unified approach that results in impeccable RCM processes and procedures.
This position reports directly to the Director, Revenue Cycle Management.
Responsibilities
- Consults in all areas of patient billing including medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
- Serves as the practice expert and point of reference for coding and billing processes.
- Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.
- Analyzes billing and claims for accuracy and completeness; identifies those needing resubmission for proper insurance billing and follow up
- Maintains contact with other departments to obtain and analyze additional patient information and analyze billing reports and data
- Reviews and analyzes accounts receivable data/reports, and weekly and monthly financial reports in concert with the Practice Administrator and practice billing staff.
- Participates in the development and implementation of billing policies and procedures
- Ensures that the activities of billing operations are conducted in a manner that is consistent with overall department protocol and are in compliance with Federal, State, and payer regulations, guidelines, and requirements
- Identifies areas of process improvement opportunities in revenue cycle management process.
- Analyzes historical and projected billing data and schedules, with the goal of delivering actionable recommendations for improvement to operations.
- Leads monthly RCM review process at the practice level with local billing staff.
- Documents standards, procedures, and guidelines for the configuration and use of the nAble EMR as it relates to billing and RCM
- Identifies potential sources of revenue leakage and assists in developing data-driven initiatives to resolve any issues
- Reviews current EMR platform functionality to optimize performance by users, creates report templates for users, evaluates and ensures data integrity and workflows across billing platform
- Creates variance reports to identify and trend payment discrepancies (e.g., denials, underpayments, write-offs, etc.), reporting results to leadership regularly
- Conducts ongoing analysis of contract compliance and financial performance for third-party payers to support leadership during payer contract negotiations
Requirements
- Associates degree, preferably in business administration or related field; Bachelor’s degree preferred
- Minimum of three years medical insurance/healthcare billing and collections experience in a medical practice or health system, with a deep understanding of medical billing rules and regulations
- A combination of education and experience will be considered in lieu of degree
- Excellent customer service skills
- Effective verbal and written communication skills
- Proven analytic and problem-solving skills
- Strong interpersonal skills and the ability to work collaboratively
- Excellent verbal and written communication skills
- Advanced skills utilizing Microsoft Excel and other database management software
- Ability to extract and analyze relevant data
- Ability to self-manage and prioritize multiple tasks
- Ability to establish and maintain effective working relationships with a diverse group of people at all levels of the organization
- Versatility, flexibility and willingness to work within constantly changing priorities with enthusiasm
- Ability to travel periodically to local practices as needed by work demands
COVID-19 Vaccine Requirement
In an effort to protect our employees and our patients, we require of all employees to be fully vaccinated against Covid-19. Any candidate seeking employment will be required to be fully vaccinated against COVID-19 and provide proof of your COVID-19 vaccine prior to your start date of employment. If you cannot receive the COVID-19 vaccine because of a qualifying legal reason, you may request an exception to this requirement.
Benefits
· Comprehensive compensation package with bonus potential
· Competitive Medical, Dental, and Vision Plans
· Paid Time Off to enjoy “you” time
· Career development and cross-training opportunities
· 401k Match
Diversity & Inclusivity
At our company, we serve everyone, regardless of gender, sexual orientation, race, ethnicity, or religion. Just as we acknowledge and value the diversity of our patients, we also actively celebrate diversity within our organization. We are an equal opportunity employer, and we are committed to a safe and inclusive work environment for all. We recognize that diversity among our team allows us to not only more effectively serve our patients, but also to advance innovation and opportunity within our field. We encourage qualified applicants of every background, ability, and life experience to apply to our employment opportunities.
Job Type: Full-time
Pay: $60,000.00 – $80,000.00 per year
Schedule:
- 8 hour shift
- Monday to Friday
Education:
- Associate (Preferred)
Work Location: Remote
