Billing Analyst (Healthcare Services)

About the position

As a Billing Analyst, you will play a crucial role in overseeing the billing process for healthcare services, with a particular emphasis on specialist healthcare providers. Your primary responsibility will be to ensure the precision and efficiency of billing within the
claims administration team.
As a Billing Analyst, the following will be required from you:

• Define and execute billing and coding procedures for the claims administration department.
• Align with the overarching business strategy.
• Ensure accuracy, efficiency, and adherence to ethical and legal standards.
• Identify opportunities for improvement in coding and billing practices.
• Collaborate with line managers and supervisors to guide accurate coding of healthcare claims.

As an Expert Mentor, the following will be required from you:

• Foster collaboration with line managers, supervisors, and claims administrators.
• Champion coding and billing enhancements to maximize revenue.
• Proactively lead continuous improvement initiatives.
• Maintain high standards in billing efficiency and accuracy.
• Analyze claims for errors and optimization opportunities.
• Interpret scheme benefit rules for billing optimization.
• Resolve denied or rejected claims.
• Stay updated on healthcare changes.
• Communicate effectively with stakeholders.
• Research medical aid plans and eligibility.
• Streamline billing processes and improve efficiency.
• Collaborate with the Tech team.

Experience:

• Minimum 3 years in medical administrative billing (B2B context, healthcare sector).
• Extensive coding experience (minimum 5 years) with industry standards knowledge.

Knowledge and Skills:

• Skilled in testing and integrating software solutions.
• In-depth understanding of medical claims industry and coding systems.
• Expertise in ICD-10 coding, SAMA, and CMS rules.
• Proficient in medical terminology and human anatomy.
• Focus on accurate and efficient billing processes.
• Excellent communication skills.
• Enthusiasm for staying updated with industry trends.

NOTE: We ONLY accept online applications. We do not consider direct applications via Whatsapp or email. 

The final remuneration package offered by the employer will be determined based on market standards, considering the candidate's qualifications, skills, and level of experience. The employer retains the prerogative to provide a remuneration package that aligns with industry norms and the specific attributes of the selected candidate.

Desired Skills:

• analyst
• billing
• coding
• healthcare
• icd-10
• medical claims