medical billing analyst

Parallon

<p></p><div><p><b>Introduction</b></p>
<p><b>This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).</b></p>
<p>Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Billing Integrity Analyst Credentialed today with Parallon.</p>
<p><b>Benefits</b></p>
<p>Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p>
<ul><li>Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance.</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more</li><li>
Consumer discounts through Abenity and Consumer Discounts</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships)</li><li>
Colleague recognition program</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
<p>Learn more about Employee Benefits</p>
<p><b><i>Note: Eligibility for benefits may vary by location.</i></b></p>
<p>Come join our team as a Billing Integrity Analyst Credentialed. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!</p>
<p><b>Job Summary and Qualifications</b></p>
<p>The Billing Integrity Analyst (credentialed) is responsible for determining the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification of billing data for accuracy and completeness, following regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, Relay Health or the payer. Applies modifiers when appropriate based on this review, and/or makes necessary adjustments to patient account charges and/or balances. Analyzes accounts for specialized billing requirements that require a review of the medical record documentation, regulatory information, and HCA standards. Combines or splits accounts as appropriate. Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding charging issues, clinical documentation issues and revenue opportunities. Provides charge review results and develops and coordinates educational in-services for facility staff related to charging/billing issues. Coordinates retrospective, concurrent, patient requested, and external billing audits. Reviews denial trends for documentation and charging opportunities. Serves as a primary contact for charge related SSC and facility inquiries and issues.</p>
<p><b>In this role you will:</b></p>
<ul><li>Analyze and resolve specific billing edits that require HCPCS/CPT coding based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay Health systems. This includes the verification (and/or correction) of billing data for accuracy and completeness, by following regulatory requirements, and reviewing the medical record, facility protocol, and other applicable documentation. This also includes the application of modifiers and condition codes, as appropriate.</li><li>
Identify charging, chargemaster coding, or clinical documentation issues and work with appropriate leadership and ancillary departments to resolve issues that are identified while working on edits.</li><li>
Serve as charge master liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues. Coordinates updates (activate, inactivate, modification) with Ancillary Departments as necessary</li><li>
Review Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD). Assess impact to Billing Integrity procedures and implement changes as needed.</li><li>
Maintain billing education, attend webcasts and conference calls as required.</li></ul>
<p><b>Qualifications:</b></p>
<ul><li>Associate Degree or above; or healthcare license/certification required.</li><li>
Minimum 1 year directly related Healthcare experience or coding experience required.</li><li>
Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred.</li><li>
Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted lieu of degree with work experience.</li></ul>
<p><b>Parallon</b> provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.</p>
<p>HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.</p><br>
<p></p><br>
<br>
<p>&quot;The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr.<br>
HCA Healthcare Co-Founder</p>
<p>If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Billing Integrity Analyst Credentialed opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. <b>Unlock the possibilities and apply today!</b></p>
<p><i>We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</i></p></div><p></p>

Billing Integrity Analyst Credentialed

Quest Diagnostics

<div><p><b>Business Analyst - Billing - Monday to Friday, 8:30 AM to 5:00 PM Eastern</b></p><p><b>
Pay range: $66,550 - $100,000 / year</b></p><p>
Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.</p><p></p><p><b><br>
Benefits information:</b><br>
We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects &ndash; physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:</p><ul><li>
Day 1 Medical, supplemental health, dental &amp; vision for FT employees who work 30+ hours</li><li>
Best-in-class well-being programs</li><li>
Annual, no-cost health assessment program Blueprint for Wellness&reg;</li><li>
healthyMINDS mental health program</li><li>
Vacation and Health/Flex Time</li><li>
6 Holidays plus 1 &quot;MyDay&quot; off</li><li>
FinFit financial coaching and services</li><li>
401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service</li><li>
Employee stock purchase plan</li><li>
Life and disability insurance, plus buy-up option</li><li><p>
Flexible Spending Accounts</p></li><br>
<p></p><li>
Matching gifts program</li><li>
Education assistance through MyQuest for Education</li><li>
Career advancement opportunities</li><li>
and so much more!</li></ul><div>
<div><div><div>Quest Diagnostics honors our service members and encourages veterans to apply.<br>
<br>
While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.<br>
<br>
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.</div>
</div><br>
</div></div><ul><li><p>Assesses and interprets customer needs and requirements</p></li><li><p>
Serves as a key resource on complex and/or critical issues</p></li><li><p>
Solves complex problems, conducts complex analysis and develops innovative solutions</p></li><li><p>
Works with minimal guidance</p></li><li><p>
Translates concepts into practice</p></li><li><p>
Reviews work performed by others and provides recommendations for improvement</p></li><li><p>
Provides explanations and information to others on complex issues</p></li><li><p>
Coaches, trains, provides feedback, and guides others</p></li><li><p>
Acts as a resource for others with less experience</p></li><li><p>
Analyzes, creates data insights and reports on performance of systems and processes</p></li><li><p>
Manages and maintains process documentation, including creating new, reviewing existing and revising all process documentation for the contact center.</p></li><li><p>
Leads functional or segment teams or projects</p></li></ul><p><b>
Required Qualifications:</b></p><ul><li>
High School Diploma / GED (or higher)</li><li>
Undergraduate degree or equivalent experience</li><li>
5+ years of Revenue cycle and / or medical billing experience</li><li>
3+ years of experience in business / finance analysis</li><li>
Solid knowledge of the lab billing system</li><li>
Demonstrated ability to manage multiple responsibilities in complex environment</li><li>
Working knowledge of insurance reimbursement, medical terminology, ICD-10, CPT and HCPCS coding</li><li>
Intermediate level of proficiency with PC-based software programs and automated database management systems (Excel, Access, PowerPoint)</li><li>
Demonstrated ability to problem solve including multiple priorities and research of conflicting and / or inaccurate data</li><li>
Excellent interpersonal, written, and verbal communication skills</li><li>
Intermediate level of knowledge in process documentation management</li></ul><p></p><p><b><br>
Preferred Qualifications:</b></p><ul><li>
Ability to probe, analyze, synthesize, and articulate complex subject matter so it can be easily understood</li><li>
A high degree of self-motivation, versatility, and flexibility</li><li>
Proven track record for improving process efficiencies and solving problems</li><li>
Excellent presentation, analytical and problem-solving skills</li><li>
Ability to manage multiple projects concurrently</li><li>
Ability to communicate analysis including trends and opportunities in writing and verbally</li></ul></div>

Business Analyst - Billing

Nemours Children's Health

<div><b>Nemours is seeking a Sr. Medical Reimbursement Analyst in Jacksonville, FL.</b><p>
The primary function of the Senior Medical Reimbursement Analyst is the resolution of open high dollar insurance balances through collections. The position is responsible for researching unpaid, underpaid and denied high dollar insurance claims then applying contractual billing and payment guidelines to ensure timely resolution and meet collection goals. The position also uses knowledge of the revenue cycle to analyze, report and work reimbursement issues with various internal departments and external entities at all levels to create reliable methods for future resolution.
</p><p><b>Essential Functions<br>
</b><br>
</p><ul><li>Work accounts until all charges are paid or denied by the insurance carrier, while utilizing their ability to multitask, maintain process efficiencies and production levels.
</li><li>Understand and apply principles of reimbursement to all aspects of the revenue cycle including but not limited to billing, coding, reimbursement, recovery, and patient responsibility.
</li><li>Account for high dollar balances and keep abreast of insurance trends while identifying and reporting payor trends and issues to management and huddle board in order to affect timely resolution.
</li><li>Pursue payment from payors related to both denials and underpayment through various means of communication including verbal and written platforms i.e email, appeals, etc.
</li><li>Accurately enter patient demographics, guarantor and coverage information into Epic system. As well as, accurately perform retro adjudication, change filing order, request necessary adjustments / reversal of adjustments, or refile claims.
</li><li>Apply problem solving skills to resolve discrepancies while maintaining a professional demeanor that promotes patient, staff and customer satisfaction, and reflects the Mission, Vision, and Values of Nemours when working with either insurers or the insured.
</li><li>Work jointly with all departments along the revenue cycle to resolve issues, including attending meetings both internally and externally. Building relationships which could result in an increase of collection % as well as, ensure timely processing of claims.
</li><li>Keep abreast of all insurance and system changes, Payor Plan Standards, contractual updates, etc.
</li><li>Apply balance adjustments as appropriate and accurately bill the guarantor for patient responsibility if applicable.
</li></ul><p><b>Requirements</b></p><p>
High School Diploma</p><p>
1-3 years of experience</p><p><b>
About Us</b></p><p>
Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida - along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.</p><p>
Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.</p><p>
Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.</p><p>
Learn more at Nemours.org .</p></div>

Medical Reimbursement Analyst Sr

Prime Heart and Vascular, PLLC

<p><b>Experienced Medical Biller - Ophthalmology Clinic</b><br/><b>Remote | 30 hours/week | $7.50/hour</b></p><p>We are hiring an <b>experienced Medical Biller</b> with a strong background in <b>ophthalmology billing</b>.</p><p>This role is best suited for someone with hands-on experience across the full billing cycle, including <b>coding, charge entry, claim submission, payment posting, denial follow-up, appeals, and A/R management</b>. We are looking for someone who can work with accuracy, urgency, and strong ownership in a revenue-focused environment.</p><p>Qualifications</p><ul><li><b>2 to 4+ years of medical billing experience</b></li><li><b>1 to 2+ years of ophthalmology or eye care billing experience</b></li><li>Strong knowledge of <b>ICD-10, CPT, HCPCS, modifiers, EOB/ERA review, and payer requirements</b></li><li>Experience with clearinghouses and EHR/practice management systems</li><li>Strong attention to detail and understanding of billing compliance</li></ul><p>Preferred</p><ul><li>CPC, COC, COB, or CCS-P certification</li><li>Experience with Medicare LCD policies, optical/V-code, or ASC billing</li><li>Strong Excel skills for reporting and A/R tracking</li></ul><p><b>Job Description:</b><br/>https://tinyurl.com/JD-MedBiller-Ophthalmology</p><p><b>To be considered for the role, please complete the Initial Application Screening Form:</b><br/>https://tinyurl.com/Apply-MedBiller-Ophthalmology</p><p><b>Interviews are happening on a rolling basis, so early applications are encouraged.</b></p><p>Job Type: Part-time</p><p>Pay: Rs2,109.02 per hour</p><p>Expected hours: 30 per week</p><p>Work Location: Remote</p>

MEDICAL BILLER — OPHTHALMOLOGY-Experience Required | PK

Coderzhunt

<p>We at OctaMD are hiring for Medical Billing Executives (Junior and Mid-level)!</p><p>We're looking for talented individuals to join our team and work with us in making a difference in healthcare.</p><p>Positions: 2</p><p>Location: Johar Town, Lahore</p><p>Work Hours: Monday to Friday (USA-based working hours)</p><p>Job Type: Full time onsite</p><p>If you're passionate about medical billing and want to grow with a dynamic team, send your resume to careers@octamd.com</p><p>Job Type: Full-time</p><p>Pay: Rs30,000.00 - Rs70,000.00 per month</p><p>Work Location: In person</p>

Medical Billing Specialist

UNC Health

<div><p><b>Description</b>
</p><p>Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.</p><p>
Summary:<br>
The Patient Account Analyst processes payments to facilitate even cash flow for the organization.</p><p></p><div><br>
Responsibilities:<br>
<ul><li>Promptly and accurately processes payments to facilitate even cash flow for the organization.
</li><li>Reviews all accounts on the assigned portion of Accounts Receivable via the Aged Trial Balance and batches. Appropriately posts or refunds accounts to bring accounts to a zero balance status.</li><li>Resolves minor problems, answers questions, and uses good judgment to insure that patient care is not compromised. Proactively responds to problems relative to system procedure errors, i.e. coding, registration, charging, posting, authorization issues.
</li><li>Reviews and analyzes daily/weekly monthly reports to ensure timely filing. Audits payments, allowances, rejected claims to identify and resolve claims/EOP/EOB revenue cycle issues.</li></ul>
PARDEE</div><div><br>
Other information:<br>
QUALIFICATIONS<br>
Required<br>
<ul><li>Associate&rsquo;s degree or an equivalent combination of education and experience.</li><li>Experience working in a healthcare or finance/accounting office.</li><li>Proficient written and verbal communication.</li></ul>
Preferred<br>
<ul><li>Working knowledge of CPT and ICD-9/ICD-10 coding.</li><li>Experience working in or with an Electronic Medical Recordkeeping (EMR) system such as EPIC.</li><li>Experience and/or education/training in medical terminology.</li></ul><br>
01.9050.0229</div><h3 class="jobSectionHeader"><b><br>
Job Details</b></h3><p>
Legal Employer: Pardee - HCHC</p><p>
Entity: Pardee UNC Health Care</p><p><br>
Organization Unit: Patient Accounting
</p><p>Work Type: Per Diem</p><p><br>
Standard Hours Per Week: 8.00</p><p>
Work Assignment Type: Remote</p><p>
Work Schedule: Variable</p><p>
Location of Job: PARDEESUPP</p><p>
Exempt From Overtime: Exempt: No</p><p><br>
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.</p></div>

Patient Account Analyst

TeamHealth

<div><div><div><p><b>TeamHealth</b> is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. <b>TeamHealth has been recognized by Newsweek as one of America&rsquo;s Greatest Workplaces in Health Care for 2025</b> &ndash;Becker&rsquo;s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!<br>
<br>
<b>What we Offer</b><br>
</p><ul><li>Career Growth Opportunities</li>
<li>A Culture anchored in a strong sense of belonging</li>
<li>Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment</li>
<li>401k (Discretionary match)</li>
<li>Generous PTO</li>
<li>8 Paid Holidays</li>
<li>Equipment Provided for Remote Roles</li>
</ul><p>
*Onsite training and can be REMOTE after training if performance is met. *</p>
<p><b>
Job Requirements:</b></p>
<p>
QUALIFICATIONS / EXPERIENCE:
 <br>
<br>
High School diploma or equivalent<br>
 Exceptional organizational skills and a high accuracy performance<br>
 Must be able to work independently and in a close team environment<br>
 Minimum one year of experience in medical billing, excellent communication skills, and ability to meet deadlines and production goals and good computer skills are required.<br>
<br>
PHYSICAL / ENVIRONMENTAL DEMANDS:<br>
<br>
 Job performed in a well-lighted, modern office setting<br>
 Occasional standing/bending<br>
 Moderate stress<br>
 Prolonged sitting<br>
 Prolonged work on a computer<br>
<br>
This position may require manual dexterity and/or frequent use of the computer, telephone, 10- key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions.<br>
Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.</p>
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</b><p></p>
</div><div></div><div><div>Job Snapshot</div>
<div><h4 class="jobSectionHeader"><b>Employee Type</b></h4>
Full-Time
</div><div><h4 class="jobSectionHeader"><b>Location</b></h4>
Louisville, TN (Hybrid)
</div><div><h4 class="jobSectionHeader"><b>Job Type</b></h4>
Admin - Clerical
</div><div><h4 class="jobSectionHeader"><b>Experience</b></h4>
Not Specified
</div><div><h4 class="jobSectionHeader"><b>Date Posted</b></h4>
02/24/2026
</div></div></div></div><div><div><div><div><h3 class="jobSectionHeader"><b>Apply to this job.</b></h3>
Think you're the perfect candidate?</div></div></div></div></div><p></p>

Overprovision Representative

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