3 Billing Analysis Jobs

The Process Specialist implements the end-to-end accounts payable or accounts receivable processes to ensure accurate, efficient and compliant billing or invoicing, financial transactions and cash flow management With limited supervision, this job maintains financial records, analyzes billing data, generates invoices or verifies and processes invoices This job works closely with internal cross functional teams to improve billing or invoicing operations and delivers excellent customer service externally Key Accountabilities INVOICING: Implements the end to end invoicing process, including the control of accurate and timely generation or verification of invoices and supporting documentation BILLING ANALYSIS : Analyzes billing data to identify trends, anomalies and opportunities for process improvements DISCREPANCY RESOLUTION : Investigates and resolves moderately complex billing or invoicing discrepancies by analyzing billing or invoicing data, communicating with internal cross functional teams and external customers or suppliers, and making necessary corrections DOCUMENTATION: Maintains accuracy and completeness of billing or invoicing records by conducting regular audits and reconciliations RECORDS MAINTENANCE: Maintains financial records related to accounts payable or accounts receivable processes, assuring compliance with applicable policies, procedures and regulatory requirements COLLABORATION: Collaborates with cross functional teams to verify billing or invoicing information and ensure timely and accurate processing of customer or supplier payments REPORT GENERATION : Prepares and distributes financial reports related to accounts payable or accounts receivable to support informed decision making on billing or invoicing matters CONTINUOUS IMPROVEMENT : Implements policies and procedures to improve the efficiency and effectiveness of the accounts payable or accounts receivable processes INDUSTRY EXPERTISE : Stays abreast of industry trends, regulatory changes and emerging best in class industry standards in accounts payable or accounts receivable processes, proposing necessary updates and improvements Qualifications Bachelor's degree in a related field or equivalent experience 7 to 8 years of experience Experience with email, spreadsheet and word processing applications

We are looking to add a professional Billing Specialist to our Finance team. The Billing Specialist proactively processes all billing transactions in coordination with their assigned primary billers utilizing the most effective and efficient procedures and systems to facilitate the timely billing for services delivered by the firm in accordance with Firm policies. Responsibilities: Professional billing duties include but are not limited to: Initiate the bi-monthly billing process for assigned primary billers. This includes reviewing and recommending suggested billing amounts based on agreed upon billing arrangements, schedules, statement of work, engagement letters or historical amounts. Processes billing as appropriate. Review aged WIP for assigned primary billers to control outstanding WIP balances and identify billing opportunities. Uphold Firm client folder best practices. Ensuring client and folder data attributes and status are being properly managed. Hold external client servers accountable to bill timely. Escalating to regional billing lead, supervisor, manager, director or regional finance leaders if needed. Build external client server relationships. Get to know the clients they are working on so you can learn to anticipate needs and add value to the billing process. Partner with the external client servers to add significant value and be true business advisors when it comes to all aspects of the billing functions. Recognize that professional billing is an "art". Allow adaptability within a framework, while also promoting firm best practices. Maintain regular, proactive communication with the external client servers or primary billers you support. Additionally, seek feedback on your interactions and performance so that you are continually learning how to better support your "book of business". Assist in analyzing, managing, and meeting functional leaders billing goals. Reporting & Analysis duties may include but are not limited to: Understand net-unbilled concepts in order to make billing recommendations. Understand realization and reserve concepts and impact. Be able to facilitate recommendations that promote the firms best practices. Leverage the firms standardized reporting to assist primary billers in analysis and engagement management. Independently investigates billing issues and processes invoice adjustments to ensure invoice and margin accuracy. Qualifications: Minimum BBA or BCOM Education: Associate degree or equivalent experience required Skills Strong Microsoft Office skills, required. Strong Excel preferred Ability to communicate both verbally and in writing with diverse audiences Detail oriented Prior professional billing experience heavily preferred

We are seeking a qualified and experienced Manager-Claims to join our dynamic team. The ideal candidate will be responsible for reviewing, analyzing, and auditing health insurance claims from a medical perspective to ensure accuracy, compliance, and appropriateness of billed services and also ensure that providers adhere to contract.This role requires a keen understanding of medical conditions, health insurance policies, and the ability to collaborate with both medical professionals and insurance teams. Key Responsibilities: Claims Review and Audit: Conduct comprehensive audits of health insurance claims to ensure they meet company guidelines, industry standards, and regulatory requirements. Review medical records Verify the medical necessity of services rendered and assess the appropriateness of claims based on medical guidelines. Review the claims audited by Insurance companies and help in preparing appropriate response Billing Analysis: Ensure ethical practices are followed and identify any discrepancies between billed charges and approved services wrt to hospital SOC Compliance Monitoring/Adherence Ensure that all health insurance claims adhere to local, state, and healthcare and insurance regulations Monitor claims for potential fraud, waste, or abuse and report discrepancies to the appropriate department. Ensure that providers are adhering to the contract and billing is done as per SOC/packages agreed Collaboration with Stakeholders: Work closely with internal teams such as claims,provider contracting , and Investigations departments to resolve claim-related issues. Liaise with provider contracting teams and healthcare providers and facilities to obtain necessary documentation for claim validation. Reporting & Documentation: Maintain detailed records of claim audits and provide reports on audit findings, recommendations, and actions taken. Prepare reports for management on trends, audit performance, and areas for improvement. Training and Guidance: Provide guidance and training to internal teams on billing abuse, claim processes, and compliance issues. Assist in the development of training materials to promote adherence to proper claims auditing protocols. Continuous Improvement: Identify opportunities for process improvement within the claims auditing workflow. Stay up-to-date with the latest medical trends, and insurance regulations to ensure best practices in the claims audit process. Qualifications: Education: Medical degree (BAMS, BHMS, BDS, BUMS, BPT) or an equivalent healthcare-related qualification. Additional certifications in medical coding ,project management, health insurance etc. would be highly advantageous Experience: Minimum of 2-3 years of experience in a medical claims auditing role or a related field such as health insurance claims, healthcare administration. Strong experience with reviewing and auditing claims, medical records Familiarity with Excel and basic analytics Experience in hospital billing and health insurance claims Skills & Competencies: Strong understanding of medical terminology and healthcare billing practices. In-depth knowledge of health insurance policies, regulations, and compliance requirements Analytical mindset with strong attention to detail and problem-solving abilities. Ability to communicate effectively with medical providers, insurance teams, and other stakeholders. Excellent organizational skills and the ability to manage multiple tasks and deadlines. Personal Attributes: High level of integrity and professionalism. Ability to work independently and as part of a team. Strong interpersonal and communication skills. Interesed candidates can share their resume to varsha.kumari@mediassist.in or whatsapp on Mob no.: 7631162388