A Bill Review Analyst is hired to perform important functions in the company’s accounting department. The job description and duties listed on the Bill Review Analyst Resume as – sending invoices out to get revenue in, creating invoices to bill for the company’s services or products, creating invoices from contracts signed by the customer, creating a billing invoice, working with sales personnel to invoice customers after placing orders, reviewing sales sheets to ensure that all products have been billed for; ensuring the invoicing coordinates with balance sheet reporting; and managing customer calls and complaints regarding billing.
Job applicants for this role should be able to work independently and be able to effectively manage time. The ability to meet deadlines and prioritize work assignments for efficiency is as well needed. The applicant should be comfortable working with computer applications and have a working knowledge of MS Office products. A degree is commonplace among job applicants.
Objective : Bill Review Analyst with 4 years' experience as a Bill Auditor in the health insurance field. Has a full understanding of ICD-10 and CPT-4 coding procedures. Goal-oriented with great attention to detail, a self-motivated individual.
Skills : Claims Processing, Medical Billing, Medical Terminology, Anatomy, Data Entry.
Description :
Detailed oriented, accurate and willing to put forth extra effort to finish a task correctly.
Experienced with Microsoft office applications, previous call center experience.
Knowledged of CPT; ICD9; and HCPCS codes.
Analysed customer billing reports by identifying trends in accounts receivable balances.
Performed analysis of an account's current balance (exclude negative accounts).
Identified outstanding balances owed by the account (exclude negative accounts).
Identified errors or discrepancies in a customer's invoice using a variety of tools such as Quick Books or Microsoft Word.
Experience
2-5 Years
Level
Executive
Education
AAS In Health Information
Bill Review Analyst Resume
Summary : To secure a challenging, career-oriented Bill Review Analyst position that utilizes my knowledge, skills, abilities, and experience to increase services, provide opportunities for professional growth, and satisfy organizational objectives.
Skills : Windows 7, Medical Billing, Customer Service, Workers Compensation, Insurance Verification, Credentialing.
Description :
Reviewed medical bills for accuracy.
Responsible for review of medical bills for multiple states to ensure payment recommendation adhere to state fee schedule, customer and contracted PPO guidelines.
Confirmed claimant and health care provider information.
Confirmed and applied utilisation review authorisation/denial when applicable.
Developed and implemented an array of negotiation strategies and methodologies generating savings for clients as well as revenue for the organisation.
Positioned requires knowledge of the Fee Schedule and the operation of the computer terminal.
Consulted reference materials in the auditing process.
Experience
7-10 Years
Level
Management
Education
MS
Bill Review Analyst Resume
Headline : Bill Review Analyst professional with managerial experience and demonstrated expertise in: Effective communication Developing people and teams Teaching and facilitating staff while settings, goals, objectives, and duties Building interpersonal relationships Medical billing coding and insurance verification.
Skills : Types 55 WPM; Proficient in: Microsoft Word, Excel, Outlook: Adobe Acrobat, Adobe Premier, Final Cut Express.
Description :
Responsible for the accurate data transfer from medical provider bills into Provider Process System, Spectrum.
Accurately transfered all necessary information into the Spectrum system.
Recognised a variety of vendor billing (i.e. HCFA and UB-92 forms).
Critically reviewed each submitted bill for missing or inaccurate information.
Communicated effectively with inter company and external vendors, adjusters and coworkers in order to comply with all state and company satisfaction regulations.
Maintained all company wide benchmarks for productivity and quality assurance.
Identified any changes in a customers credit history, including new accounts opened after the last review date.
Experience
5-7 Years
Level
Executive
Education
AAS In Health Information
Bill Review Analyst Resume
Headline : Have several years of customer service experience providing leadership support to the department managers in dealing with internal and external customers. Strengths are maintaining superior service standards in coordinating projects and communicating with people of all levels. I also possess strong and consistent productivity.
Skills : Microsoft Office, Review Analyst, Planning.
Description :
Audited all workers comp claims in accordance with TWCC & Medicare Guidelines.
Reviewed documentation for medical necessity which included ambulance trip reports and operative reports.
Answered inquiries from healthcare providers.
Processed renouncement from healthcare provider if over payment made.
Reviewed medical and other various bills for payment based on workers compensation laws of Florida and other states, recommending either payment or denial based on various criteria.
Answered phone calls from providers regarding payments and denials, and where necessary explaining their billing errors based on workers comp billing requirements.
Trained of new employees in company procedures, software, contracts, CPT and ICD-9/10 coding, and state workers comp rules.
Experience
5-7 Years
Level
Executive
Education
AAS In Health Information
Bill Review Analyst Resume
Headline : Bill Review Analyst is responsible for Analyzing billing records and determine if there are any inaccuracies, Identifying any areas that can be improved, Identify and document the root cause of any discrepancies identified by the Bill Review Analyst, Recommending improvements to ensure accuracy in billing.
Skills : Microsoft Office, Review Management, Billing.
Description :
Confirmed claimant information and health care information.
Confirmed diagnosis between medical bills and claims data.
Confirmed and applied utilization review authorisations/denials.
Utilised and interpreted supporting documentation attached to medical billings.
Reviewed and verified the correct use of medical billing codes.
Analysed, priced and processed Missouri Workmen Compensation billing.
Analysed any change in credit policies to determine.
Experience
5-7 Years
Level
Executive
Education
MS
Bill Review Analyst Resume
Headline : Bill Review Analyst is responsible for Reviewing paid bills and other related materials, Preparing reports for internal use, Working with IT staff to ensure that the company's information systems are secure, Ensuring that the company's systems are compliant with federal, state, local, and international laws, regulations and guidelines.
Skills : Medical And Dental Terminology, Planning, Analyzing.
Description :
Worked in Med Check to review workers compensation claims.
Checked the image of the claim to make sure all the information is entered correctly.
Made sure claim pays in accordance to state regulations.
Reviewed and audited Workman's Compensation bills before reaching the insurance carrier.
Provided support as a mentor to fellow analysts transitioning into the department.
Assisted in the receiving, collating, and scanning bills to be reviewed when requested.
Analysed an organisation's billing and invoicing system and identify issues with accuracy, completeness or timeliness of financial reporting.
Experience
5-7 Years
Level
Executive
Education
Business Management
Bill Review Analyst Resume
Summary : Bill Review Analyst is responsible for Understanding compliance issues associated with regulatory requirements such as HIPAA, EITC, FICA/FUTA or FDA regulations; state/local governments; health insurance plans; employment contracts; tax documents (e.g., W2s) or any other legal form in which the company is required to be involved, Ensuring that the company operates within the law when dealing with money it receives from clients and vendors, and also Providing guidance to legal staff regarding duties of billing personnel in regards to.
Skills : Medical Coding and Billing, Customer Service.
Description :
Audited and re-price Work-Comp and Auto Claims for multiple Insurance companies in multiple states.
Ensured that Provider data entered into the system is verified to maintain accurate information.
Scanned the bill images and documents for processing.
Monitored the PA Auto for changes or updates to state fees pertaining to PA Auto Act 6.
Responsible for the complete processing and dispersal to the customer.
Identified how a company can improve the accuracy of its financial reporting and then make recommendations to the board of directors or management team about how it can do so (e.g., training staff or improving systems).
Communicated clearly with internal and external stakeholders about the progress made on accounting systems (e.g., through presentations, reports, etc.).
Experience
10+ Years
Level
Senior
Education
B.A. In History
Bill Review Analyst Resume
Objective : Bill Review Analyst professional objective is to further my career using the wide range of Medical Billing skills I have already mastered, however continuing to gain as much knowledge and grow in every aspect of the Healthcare Industry as possible. A professionally trained analyst with experience in ensuring the highest of standards in every aspect of medical billing, processing, fee schedule and customer service for a wide variety of clients with very diverse needs and I feel this has prepared me to accept any challenge presented.
Skills : Billing, Coding, Analyst.
Description :
Concentrate created and delivered healthcare solutions.
Worked as a Technical contact for the team.
Analysed all charges & procedures for appropriate medical and hospital bills.
Entered Current Procedural Terminology (CPT-4) & other codes for multiple states to ensure the correct reimbursement.
Provided customer service explaining fee guideline procedures and practices to individuals with varying degrees of understanding.
Trained other analysts as necessary.
Provided guidance to managers on improved processes (e.g., coaching, mentoring).
Experience
2-5 Years
Level
Junior
Education
MS
Bill Review Analyst Resume
Summary : Bill Review Analyst is responsible for Assessing and evaluating the performance of the billing department in terms of revenue, invoicing and collections, Reviewing invoices to ensure that they are accurate and provide sufficient detail to support revenue and profitability goals, Reviewing payment requests to ensure that they are complete, accurate, and timely.
Skills : Time Management, Product Management, Documentation Skills.
Description :
Reviewed medical records to determine if they are auto related.
Assisted claim adjusters.
Ensured application meets requirements by doing complete system testing, performance testing, regression testing, and integration testing, and user acceptance testing.
Researched and analyzed emails through Salesforce for cost-saving analysis.
Negotiated discounts on behalf of insurance carriers for out of network medical claims.
Assessed the terms and pricing of software licenses to determine the total cost of ownership and surrounding costs.
Identified and analysed potential future revenue opportunities by evaluating existing products, competitor products, and the market at large.
Experience
10+ Years
Level
Senior
Education
MS
Bill Review Analyst Resume
Headline : Bill Review Analyst is responsible for Analyzing the financials and develops forecasts of the company's revenues and expenses based on these forecasts, Providing recommendations for cost reductions and revenue growth through budgeting techniques, Analyzing sales volume/activity to determine trends in pricing strategies and forecast profitability.
Skills : Planning, Analysing, Payment Management.
Description :
Identified trends among competitors' products, market share, strategy, and market growth potential.
Developed a business case for new product development based on a comprehensive analysis of product features, pricing, distribution channels, technology needs/opportunities, competition, etc.
Analysed the financials of the company quarterly using accounting software.
Verified that all invoices are up to date and in compliance with the terms of the contract.
Verified that all payments received are properly documented in internal billing systems.
Validated invoices and payment details against company policies to ensure accuracy and compliance with tax, legal, or regulatory obligations.
Analysed companys balance sheet and income statement for potential problems or areas for improvement.
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