Billing Analyst I

Job Summary

Monitoring billing operations for ambulatory pharmacy accounts, the full-time Billing Analyst I will ensure accurate charge documentation, reconcile discrepancies, and assist in resolving charge disputes in a hybrid work environment.

Key responsibilities

• Ensure all ambulatory and specialty third-party charges are paid and identify reimbursement losses
• Audit charts to verify charge documentation and recommend workflow changes to reduce charge capture issues
• Interface with Nursing, Vendors, and Supply Chain to reconcile discrepancies in charge and procedural documentation

Required qualifications

• Bachelor's degree
• 1-3 years' experience with pharmacy or hospital billing operations
• Proven knowledge of CPT and ICD-9 coding systems; certification required within twelve months of hire
• Successful completion of a medical terminology class
• Familiarity with large healthcare information systems such as IDX, OACIS, EPIC, and/or Last Word preferred