The Junior Billing and Record Analyst is responsible for validating and auditing required documentation for invoicing before it is sent to the Billing Department. This role supports coordination between Pharmacy, Case Management, Billing, Finance, and Metro Pavia, while helping ensure records are complete, accurate, and ready for billing.
Responsibilities include:
- Validate that documents processed by the Pharmacy and Case Management departments are accurate and complete before submission to Billing.
- Follow up with coordinators to ensure record completion.
- Confirm that all cases have been sent for billing.
- Tabulate and review administrative cases to ensure proper invoicing.
- Validate and audit consultation cases for correct payment.
- Review authorization letters for required and accurate information.
- Refer incomplete or modified authorization letters to medical plans and provide follow-up.
- Validate receipt of payment agreement letters when required.
- Confirm that co-payments have been communicated to patients during the coordination process.
- Act as a liaison and provide support between the Pharmacy, Billing, Finance, and Metro Pavia teams.
- Digitize patient documents in the platform.
- Assist with special projects as needed.
- Help prepare patient payment agreements, quotes, or receipt evidence.
Requirements & Qualifications
Qualifications
- Associate degree in Medical Billing or Medical Billing Certification.
- 1+ years of previous experience in medical billing or case coordination.
- Excellent MS Office skills, including Word, Excel, and Outlook.
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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