Billing Analyst I

Billing Analyst I at Crawford & Company Billing Analyst I at Crawford & Company in Peachtree Corners, Georgia Posted in 1 day ago.

Type:

Full-Time Job Description:

We're Hiring:

Billing Analyst I (Remote) Ready to take your career to the next level? Join our team as a Billing Analyst I and make an impact from anywhere! ✅ What You'll Do Audit bills with precision and efficiency Ensure compliance with Broadspire standards, state & national regulations Help maintain accuracy and cost control ✨ Why Crawford & Company? Remote Flexibility - Work from anywhere in the U.S. Excellent Crawford Benefits programs that empower financial, physical, and mental wellness Generous Employee Referral Bonus Program Multiple Employee Discounts Apply today and bring your attention to detail to a role that truly matters! A high school diploma or equivalent experience is required. 2 or more years work experience with CPT and ICD-9 codes or classroom experience is required. ility to problem solve, analyze, organize and prioritize work. Strong reading comprehension, verbal and written communication skills required with Windows environment experience. Must be able to produce a high volume of quality work, be organized, multi-tasked, and prioritize work. Familiar with HFCA and UB92 forms is required. #LI-ET1 Review and verify diagnosis codes, provider information, payer information, procedure codes and dates of service. Identify bills requiring research and assign bill notes and/or explanation codes indicating the reason for additional research. Apply bill/form type, modifiers and units when necessary. Process duplicate bills according to standard procedures. Enter bill information manually when required, calculating appropriate payment recommendation if necessary. Transfer bills that meet specific criteria; (i.e., surgical, ambulatory, etc). May consult with internal medical professionals to receive support for bill decisions to reduce legal exposure. Review and interpret relevant medical information including medical records, treatment reports, operative reports, consultation reports, diagnostic evaluations and functional capacity evaluations to accurately determine adjudication. Verify fee schedule and usual and customary rules according to state law or national guidelines. Apply advanced and/or proprietary reimbursement methodologies when appropriate. Communicate with providers, trainers and peers verbally and in written form. Meet required Quality/Production Standards while maintaining turnaround on assigned states. Ensure accurate and efficient processing; accurately report bills processed daily. May perform other duties as assigned.