Billing Analyst - Lab & Pathology
Core
Review, analyze, and process billing and reimbursement activities to ensure accurate and timely payment for medical services.
Role type
Billing Analyst (Medical/Pathology)
Builds
Accurate revenue cycle operations and timely payments for services
Domain
Healthcare administration / Medical billing
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Medical billing, CPT coding, ICD-10 coding, anatomy and physiology knowledge, pathology terminology, Medicaid reimbursement rules, Epic system navigation, charge entry, claim denial resolution
Preferred skills
Knowledge of Arkansas Medicaid specific modifiers, experience with outreach clinic billing
Technologies
Epic, Workday
Responsibilities
Assess health record documentation adequacy for coding accuracy; Review charges to ensure accurate CPT and ICD-10 coding; Communicate with physicians regarding documentation questions; Process professional billing and customer service requests; Manage follow-up work queues for claim denials and corrections; Manually post charges as needed.
Seniority
Entry-level to Mid-level