Reporting to the Billing & Coding Manager, the Billing & Credentialing Analyst provides revenue cycle support to the Department of Emergency Medicine.
The Billing & Credentialing Analyst is responsible for the review and resolution of all registration-related pre-billing edits and/or rejections to ensure prompt and accurate reimbursement, and for performing and tracking provider insurance enrollment activities.
Performs routine provider enrollment tasks for onboarding providers and tracks outcomes.
Performs routine provider enrollment maintenance tasks, including annual Medicaid ETIN enrollment, and tracks outcomes.
Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
Participates in special provider enrollment projects as needed.
Reviews and resolves all assigned tasks and encounters associated with potential registration discrepancies as it relates to prebilling system edits and/or claims with outstanding balances.
Reviews and resolves any pre & post billing registration edits and resubmits claim for adjudication.
Aims to reduce accounts receivable by reviewing claims rejected for eligibility and other non-clinical reasons?? investigates assigned accounts to determine what additional steps must be taken for claims to be resolved.
Participates in department and CUIMC revenue cycle improvement projects and training.
Runs standard reports and provides root cause analysis on issues impacting the revenue cycle.
Answers and triages patient correspondence received via telephone and email and. Responds to inquiries and directs callers.
Cross covers other duties as needed
Bachelor???s degree or equivalent in experience with at least three years of relevant administrative experience.
Knowledge of electronic medical records and billing systems. EPIC experience preferred.
Demonstrate strong verbal and written communication skills
Ability to exercise excellent judgment and diplomacy in all interactions.
Customer service skills
Must be detail oriented and have excellent organizational skills
Must be proficient in the use of Microsoft Office suite, including Excel and PowerPoint.
Must use sound judgment in prioritizing work, and possess a professional sense of accountability.
Must demonstrate proven ability to interact with all levels of faculty and staff.
Ability to learn new applications to function effectively in a remote work environment.
Must successfully complete system training requirements.
Must have an active NY notary public license or be willing to become a NY notary public within 6 months of hire date.
Equal Opportunity Employer / Disability / Veteran
Columbia University is committed to the hiring of qualified local residents.
Columbia University is one of the world's most important centers of research and at the same time a distinctive and distinguished learning environment for undergraduates and graduate students in many scholarly and professional fields. The University recognizes the importance of its location in New York City and seeks to link its research and teaching to the vast resources of a great metropolis. It seeks to attract a diverse and international faculty and student body, to support research and teaching on global issues, and to create academic relationships with many countries and regions. It expects all areas of the university to advance knowledge and learning at the highest level and to convey the products of its efforts to the world.