JOB SUMMARY
The Billing Account Analyst is responsible for resolving variance/denials using critical thinking, analytical skills, and appropriate decision making to resolve accounts. The Billing Account Analyst applies pertinent Marshfield Clinic Health System policies, protocols, and processes in problem solving but has the ability to respond to unique cases in which clear policy and procedures are not always established. The Billing Account Analyst maintains a thorough knowledge of carrier policies, direct contracts, subscriber benefits, non-covered services, coding, diagnosis issues, and accounts receivable. A high degree of professionalism and accuracy regarding written and verbal communication between internal and external customers is expected.
JOB QUALIFICATIONS
EDUCATION
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required: None
Preferred/Optional: None
EXPERIENCE
Minimum Required: Two years’ experience in a medical business office, healthcare, pharmaceutical setting or comparable experience.
Preferred/Optional: Experience specific to the department hired within.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required: For positions hired within the dental centers, Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) within three months of hire.
Preferred/Optional: For positions hired within the dental centers, Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) at time of hire.
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
At Marshfield Clinic Health System, we are fully committed to addressing health equity, diversity and inclusion for our employees and providers, our patients, and the communities we serve. We believe that every individual should have the opportunity to attain their highest level of health. We embrace diversity and welcome differences in who we are and how we think. We believe that any individual or group should feel welcomed, respected and valued. View our Equity and Inclusion Statement here.Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.