Billing Audit Analyst

Billing Audit Analyst

23 Mar 2024
Missouri, Saintlouis, 63101 Saintlouis USA

Billing Audit Analyst

Job DescriptionWho is Saint Louis University? Founded in 1818, Saint Louis University is one of the nation's oldest and most prestigious Catholic universities. SLU, which also has a campus in Madrid, Spain, is recognized for world-class academics, life-changing research, compassionate health care, and a strong commitment to faith and service.All About YouJob SummaryUnder general direction, the Billing Audit Analyst performs regular billing compliance audits to ensure compliance with government and third-party payer requirements. Validates hospital/physician billing invoices, distributes them to appropriate departments for payment, and follows up on payment statuses in Workday. Manages the encounter ticket process and verifies entries in the Clinical Trials Management System. Ensures research data integrity across various systems/databases.Open to a remote employee in any of the following states if not living in the Greater St. Louis area: Alabama, Arizona, California, Colorado, Illinois, Indiana, Kansas, Maine, Massachusetts, Michigan, Minnesota, Missouri, New Jersey, North Carolina, Ohio, Oklahoma, Rhode Island, Tennessee, Texas, Utah, Virginia, West Virginia or Wisconsin.Job Duties

Performs billing compliance audits, including reviewing coverage analyses and actual billing statements for congruence as well as ensuring appropriate capture of physician and hospital services.

Validates hospital/physician invoices and distributes them to individual departments. Performs periodic aging reports and follows up to address payment processing delays.

Manages the encounter ticket process and verifies entries in the Clinical Trials Management System (CTMS).

Performs other duties as assigned.

Knowledge, Skills, and AbilitiesKnowledge of regulations and guidelines related to clinical researchWorking knowledge of clinical research terminology and multiple medical conditionsWorking knowledge of Medicare/Medical billing/coding processes and understanding of Medical and Research billing and coding utilizing CPT, ICD-10 and HCPCSKnowledge of EPICStrong interpersonal and customer service skillsExcellent time management, organizational and multitasking skillsAbility to maintain confidentialitySalary/BenefitsSalary range$46,720 to $70,080, pay will be determined based on amount of relevant experience.This position also includes benefitsincluding vacation and sick leave,health/dental/vision/lifeinsurance, 403B retirement savings plan and match, tuition remission, employee assistance program and wellness program.Minimum QualificationsBachelor's degree, supplemented with two (2) years of related work experience or one-year medical billing, clinical trial billing or health insurance experience.orAssociate degree, supplemented with four (4) years of related work experience orHigh School Diploma, supplemented with seven (7) + years of related work experiencePreferred QualificationsCertified Coding Specialist certificationFunctionClinical BillingScheduled Weekly Hours:40Saint Louis University is an equalopportunity/affirmativeaction employer. All qualified candidates will receive consideration for the position applied for without regard to race, color, religion, sex, age, national origin, disability, marital status, sexual orientation, military/veteran status, gender identity, or other non-merit factors. We welcome and encourage applications from minorities, women, protected veterans, and individuals with disabilities (including disabled veterans). If accommodations are needed for completing the application and/or with the interviewing process, please contact Human Resources at 314-977-5847.Saint Louis University is an equal opportunity/affirmative action employer. All qualified candidates will receive consideration for the position applied for without regard to race, olor, religion, sex, age, national origin, disability, marital status, sexual orientation, military/veteran status, or other non-merit factors. We welcome and encourage applications from minorities, women, protected veterans, and individuals with disabilities (including disabled veterans). If accommodations are needed for completing the application and/or with the interviewing process, please contact Human Resources at 977-5847.

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