Change Healthcare
Position Description
Responsible for ensuring processes meet the established quality standard. A Data Integrity Associate (DIA) is an important part of our company’s team. The DIA will perform audits for both internal and external clients following a strict schedule of audited employees. Audits will be completed using the pathway (set of instructions) supplied by the teams being audited. Auditors are required to create audit reports, identify process improvements, and have communication skills – verbal and written.
The DIA Analyst will review charge entry, payment posting, and accounts receivable (A/R) transactions. Charge entry and payment posting require data entry and attention to details by the users. A/R includes follow up of outstanding claims for all payers, outstanding balances with patients, and/or resolution of denials. A/R reps are responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability. The DIA needs to have the skills to understand the above transactions taken by other employees.
The DIA provides training on various systems including EPIC, MMIS, Cerner
Minimum Requirements
3+ years work experience; 1 year of medical billing and research experience required.
Critical Skills
- Medical Billing experience
- Attention to detail
- Time management
- Planning and organizing
- Judgment
- Decision making / Analytical processing
- Strong work ethic
- Dependable and responsible
- Team player
- Works autonomously
Technical / Software Skills:
- Microsoft Office
- Utilize dual monitors
- Toggle between multiple screens / programs
- Ability to learn and work within multiple billing software programs
- GE Centricity / Epic experience (preferred – not required)
- Efficient use of keyboard commands (preferred – not required)
Additional Knowledge & Skills
Excellent understanding of the A/R process. Capable of training others and answering questions from co-workers when necessary. Strong analytical and interpersonal skills and ability to interact with senior level management, and high level of computer literacy with command of office software including excel spreadsheets. Good knowledge of healthcare, government and/or insurance industry.
Education
- High School Diploma or equivalent work experience.