Patient Responsibility Invoicing Senior Analyst
Forta
IT
Philippines
Posted on Nov 20, 2024
FORTA’S MISSION:
Forta is clearing the path to quality healthcare by delivering the best possible outcomes with the utmost convenience. 1 in 36 children [CDC, 2023] is diagnosed to be on the autism spectrum. Currently, autism support via Applied Behavior Analysis (ABA) is difficult to access and the delivery model must be expanded to provide earlier access to families.
Forta is not only providing ABA services to our clients, but we’re also improving the future of the ABA experience for families by creating software and predictive algorithms that elevate clinicians to work smarter by surfacing the latest and most relevant case data. We are working diligently to continuously improve the patient journey and deliver personalized care by applying smart technology and investing in the growth of our world-class team.
Overview:
As a Patient Responsibility Invoicing Senior Analyst, you will play a crucial role in the healthcare team by ensuring accurate and timely billing and account management for both the clients and the practitioners. You will work closely with the billing team, healthcare providers, and insurance companies to process claims, resolve payment issues, and maintain financial records. Your attention to detail, strong organizational skills, and ability to work effectively in a fast-paced environment will contribute to the smooth operation of the billing and collections department.
Responsibilities:
- Generate accurate and timely patient bills and claims for services rendered, ensuring full compliance with insurance regulations and billing guidelines.
- Confirm patient insurance coverage and obtain necessary pre-authorizations for treatments or procedures to minimize delays in billing.
- Keep detailed and up-to-date patient records, including demographics, insurance information, and billing history, ensuring accurate documentation for smooth billing operations.
- Stay informed on the latest billing, coding, and payer regulations (HIPAA, Medicare, Medicaid, etc.) to ensure compliance and mitigate risks.
- Assist in preparing and analyzing financial reports related to patient accounts, revenue, and collections to help optimize billing processes and cash flow.
- Keep up with evolving billing and coding regulations, insurance policies, and industry best practices to ensure consistent adherence to guidelines.
- Work closely with IT, finance, and clinical teams to drive process improvements and implement technology solutions that enhance billing efficiency and accuracy.
- Provide support with general administrative duties such as data entry, filing, and maintaining accurate records as required.
Experience:
- Bachelor’s degree in business, healthcare administration, accounting, or a related field (preferred but not required).
- 2-3 years in medical billing, collections, or a similar role within healthcare, with a preference for experience in ABA (Applied Behavior Analysis) billing and collections.
- Strong understanding of healthcare billing systems, coding (ICD, CPT, HCPCS), and claims processing, as well as payer regulations, including Medicare and Medicaid.
- Skilled in data analysis and reporting, with advanced expertise in Excel, Office 365, and Google Workspace.
- Excellent interpersonal, problem-solving, and negotiation skills to effectively manage payer relations and resolve patient inquiries or disputes.
- Demonstrated ability to provide exceptional customer service, working with healthcare professionals, patients, and internal teams to address concerns and streamline processes.
Schedule
- Schedule: Monday to Friday, with weekend availability as needed
- Expected Hours: 40 hours per week
- Time Zone Preference: Ability to work in U.S. time zones, preferably Pacific Standard Time (PST)
Apply Today!
We are looking for you! A driven, innovative, client-focused individual to join our team as we innovate the care and tools available to neuro-diverse families. If this position sounds like the opportunity you have been searching for, we want to speak with you!
We look forward to working with you!
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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Forta is a Drug-Free Workplace/ EO employer – M/F/Veteran/Disability.
