[Remote] Specialty Billing & Collections Analyst

Note: The job is a remote job and is open to candidates in USA. Dragonfly Health is a company focused on healthcare solutions, and they are seeking a Specialty Billing & Collections Analyst to manage billing processes and ensure data accuracy. The role involves conducting pre-billing reviews, processing adjustments, and maintaining client relationships to resolve payment issues.

Responsibilities

• Conducts monthly pre-billing review and data quality analysis to ensure that invoices delivered to customers and providers are accurate
• Regularly receives and processes client and provider adjustments to ensure month end invoices are correct
• Uses a variety of collection techniques and forms relationships with business clients to resolve payment issues and escalate collection efforts as necessary
• Submits specialty billing for PACE and Medicaid clients using EDI software portal, reconciles EOBs, denied claims and conducts accounts receivable follow-up
• Updates pricing on orders in system to ensure invoice accuracy for special items, agreements, substitutions, and unauthorized deliveries
• Functions as a key contact person for all billing data integrity matters for clients, vendors, and various internal departments
• Creates and develops reports to address management needs; analyzes information to identify issues and recommends process improvements as appropriate
• May manage special billing & collections projects
• Protects company’s intellectual property and the privacy of customers’ data
• Performs other duties as assigned or apparent

Skills

• High school diploma or equivalent is required
• At least two years of billing analytical experience in which employee worked within a team environment is required
• Proficient and accurate data-entry skills are required to record and manipulate data as previously described
• Strong interpersonal skills due to constant contact both internally and externally. Displays the ability to work within a team
• Ability to work with independently and displays good prioritization skills
• A high attention to detailed information is required to review and reconcile data
• Ability to read service level contracts and understand the fee schedule for client and vendors
• The ability to maintain confidentiality of patient information and follow standard operating procedures with regard to patient data to ensure compliance with HIPPA is required
• Strong knowledge of business and communications software (MS Office) and web-based tools are required
• Excellent spreadsheet (Excel) experience is required
• A bachelor's degree in business or related field is preferred
• Medical billing and coding license is preferred
• Experience in the healthcare or medical fields in which incumbents have gained an understanding of durable medical equipment is preferred
• Experience with DMETrack software of at least one year is preferred

Company Overview