Medical Billing Analyst II- Anthem/Liability/Workers Comp

Roanoke, VA, US, 24011

Job Summary

Be at your best with an organization that equips you to do so.  Whose people unite in making lives better. At Carilion Clinic, we help communities stay healthy and our region grow stronger through compassionate care, medical education and research, and neighborhood outreach. As part of our team you can expect professional stability, strong technological resources, and the advancement potential of a regional leader.

 Job Duties include, but are not limited to:

Applies an in-depth knowledge of multiple payors. Understands all billing requirements and government regulations. Keeps knowledge current on procedures to resolve problems related to outstanding claims.  
•    Recognizes the various timeframe requirements as assigned by payer. Acts as secondary line of defense against potential timely filing losses including filing written 1st, 2nd and 3rd level appeals to maximize cash flow and mitigate bad debt, having a clear understanding of payer needs for account resolution.
•    Independently identify and perform root cause analysis of complicated accounts to evaluate, diagnose, and adjudicate accounts.
•    Continuously develop knowledge of all aspects of the Revenue Cycle including: Patient Access, Authorization, UM, Charge capture, coding and medical terminology, billing, appeals, customer service, and self-pay collections, while understanding their interaction with the department.
•    Leads complex project assignments and provides updates to the Manager.
•    Monitors and reports on accounts receivable balances that includes at risk or are high dollar accounts. Applies aggressive collection techniques to resolve accounts.
•    Quickly responds to customer service inquiries in an accurate and concise response. Documents all information for retrieval by others.
•    Adheres to all departmental policies and procedures.





Based in Roanoke, VA, we are an award-winning, community-based network of hospitals, primary and specialty physician practices, and affiliations with prestigious academic medical institutions. Explore how joining a regional leader can enhance your ability to learn, grow, and succeed.

Minimum Qualifications

Education: High School graduate required (or equivalent); some college education preferred.

Experience: 3-5 years of experience in related field. Epic experience desired.

Licensure, certification, and/or registration:
Proficient in approved application/software required within 6-12 months of position start date.

Other Minimum Qualifications: Effective communication, analytical, problem-solving, and critical thinking skills required. Excellent interpersonal skills required. Requires excellent hearing, clear/concise speech, excellent finger dexterity to operate computer terminal/keyboarding as well as use of a calculator. Proficient Microsoft Office Suite skills. Excellent documentation and follow-up skills required.


Our Values

Below are our core values that we strive to embody and expect of all our team members:

Collaboration: Working together with purpose to achieve shared goals.

Commitment:  Unwavering in our quest for exceptional quality and service.

Compassion:  Putting heart into everything we do.

Courage:  Doing what’s right for our patients without question.

Curiosity:  Fostering creativity and innovation in our pursuit of excellence.


Requisition Number: 65053 
Employment Status: Full time 
Location: CASB - Carilion Administrative Services Building 
Shift: Day 
Shift Details: Mon - Fri 8:00am-4:30pm Overtime as needed
Recruiter Email: kagonce@carilionclinic.org

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning
hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.


Nearest Major Market: Roanoke

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