Billing and Membership Analyst jobs in United States
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Summa Health · 17 hours ago

Billing and Membership Analyst

Summa Health is an integrated healthcare delivery system based in Akron, Ohio, and they are seeking a detail-driven Billing & Membership Analyst. The role involves ensuring accurate billing, verifying eligibility, monitoring compliance, and streamlining processes to support the organization’s operations.

Health CareMedicalNon Profit

Responsibilities

Develops, implements, performs and reconciles transactions in our claims system and surrounding vendor systems while ensuring all regulatory compliance guidelines are followed and met
Researches and maintains knowledge of current and proposed legislation impacting enrollment, eligibility and premium billing functions, to ensure department compliance

Qualification

Eligibility processingData analysisClaims software knowledgeMicrosoft OfficeAttention to detailProblem solvingCommunication skillsTime managementConfidentiality

Required

High school diploma or equivalent
One (1) year experience in eligibility processing, auditing of records and reports, moderately complex data processing and/or working knowledge of customer service/claims/eligibility software applications that support healthcare operations
Microsoft Office: Access, Word and Excel at a basic level
Ability to type 35 words per minute at a 95% accuracy rate
Ability to communicate in a professional manner to a wide variety of audiences, including Senior Leadership
Excellent proofreading skills
Strong analytical skills to review data from a variety of sources in order to make recommendations/conclusions based on the outcomes
Excellent attention to detail and strong troubleshooting skills
Organize and manage time to accurately complete tasks within defined timeframes in a fast-paced, often-changing environment
Maintain current knowledge of and comply with regulatory and business information
Maintain confidentiality of member health and business information
Independent judgement, decision making and problem solving
Sit for prolonged periods of time
Bend, stoop and stretch
Manual dexterity to operate computer, phone and standard office machines

Benefits

Medical
Dental
Vision
Life
Paid time off
Basic Life and Accidental Death & Dismemberment (AD&D)
Supplemental Life and AD&D
Dependent Life Insurance
Short-Term and Long-Term Disability
Accident Insurance, Hospital Indemnity, and Critical Illness
Retirement Savings Plan
Flexible Spending Accounts – Healthcare and Dependent Care
Employee Assistance Program (EAP)
Identity Theft Protection
Pet Insurance
Education Assistance
Daily Pay

Company

Summa Health

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Summa Health is a non-profit medical care that offers orthopedic, weight management, sleep medicine, mental, and digestive health services.

Funding

Current Stage
Late Stage
Total Funding
$14.6M
2024-01-17Acquired
2020-02-07Grant· $1.5M
2019-11-21Grant· $2.1M

Leadership Team

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Cliff Deveny
Advisor/CEO Emeritus
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Company data provided by crunchbase