Billing Analyst, Medical Clinic

**Description** The **University of Calgary Medical Clinic** in the **Cumming School of Medicine** is currently seeking a Full-time Regular **Billing Analyst.** The Billing Analyst is responsible for the auditing and verification of tasks relating to the Alberta Health Care billing function for members (physicians) of the University of Calgary Medical Group, including reviewing, validating and auditing information submitted by physicians via Connect Care to ensure timely submission and payment of medical billings. Each Billing Analyst will be supporting a minimum of 65 physicians each billing cycle and fulfilment of Standard Operation Policy claims submissions per month. This position reports to the Manager, UCMG. **Summary of Key Responsibilities** (job functions include but are not limited to): * Accurately compile, verify, audit and process medical data submitted by physicians via Connect Care to ensure accurate and timely submission and payment of medical billings * Diligently perform audit checks to ascertain the correct billing codes and modifiers to ensure timely and effective payment of physicians * Perform research on submissions of appropriate diagnostic & health services codes to ensure accurate billing is in the system, and physicians are paid appropriately * Ensure completion of tasks as per internal cut off period timelines and as per Alberta Health billing submission deadlines * Ensure timely and accurate billing submission for clinical Alternative Relationship Plan (cARP) and Academic Medicine Health Services Program (AMHSP) * Comfortably address late submissions and issues with Alberta Heath and physicians * Maintain high degree of confidentiality of sensitive financial & patient private medical information * Generate and analyze weekly reconciliation reports. Perform corrective processes to ensure timely payment of claims for member physicians. Supply physician members reconciliation reports, as their only statement of assessment * Advise and update physicians on new billing regulations and codes relevant to their specialties * Develop and maintain an understanding of Academic Medicine and Health Services Program, Clinical Alternative Relationship Plans and Fee for Service Billings * Develop, establish, and maintain good working relationship with physicians, administrative assistants and colleagues * Provide versatile and competent coverage for co-workers during vacation, absences, and in high volume times **Qualifications / Requirements:** * Completion of Medical Office Assistant Certification or any post secondary certification in a medical field * Minimum 4 years experience providing medical billing services * Knowledge of and/or experience with Alberta Health billing processes, rules & regulations required * Strong critical thinking skills while performing auditing tasks and problem-solving billing issues * Knowledge of health information privacy regulations and handling of confidential and sensitive information is r