Billing Analyst - Healthcare - Physician Claims

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Billing Analyst is expected to perform specific billing processes, follow-up, account analysis as required. This position works with other departments to facilitate the meeting of both departmental facility goals and objectives. Ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific payers is essential

The Billing Analyst has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. This position performs all related job duties as assigned.

• Experience resolving payer rejections and denials for commercial and government payers.

• Familiar with basic payer rules and regulations.

• Strong analytical skills to identify root cause to avoid further rejections.

• Identify opportunities for process improvement.  

• Proficiency in billing and clearinghouse software, such as Waystar, Availity, NextGen.

• GPMS/AthenaIDX experience a plus.

• Familiar with payer portal and navigation.

• Strong ability to collaborate with different internal departments and external payers.

• Ability to work independently and as a team with a knack to build strong professional relationships.

What You Will Need:

• High School Diploma / GED or 3 years of relevant equivalent experience in lieu of Diploma / GED

• 1-3+ year's experience in office, business, operations, customer service or healthcare field.

What Would Be Nice to Have:

• Proficient with Microsoft Products such as: Excel, Word.

• Thrive in a fast-paced environment.

• Enjoy problem solving with a keen attention to detail.

• Experience with working claim rejections via the Waystar clearinghouse. NextGen and GPMS experience a plus.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.