Billing Ops Analyst (MSO)

Billing Ops Analyst (MSO)

We are driven by a singular mission: to reimagine the future of health through groundbreaking innovations that empower individuals, enhance care delivery, and elevate well-being on a global scale. By merging Apple's unparalleled expertise in design, technology, and user experience with visionary health features, our team stands at the forefront of shaping a healthier tomorrow. Here, your work doesn't just make an impact—it defines the future of health itself. Imagine what you can do here. AC Wellness Network LLC is a subsidiary of Apple Inc. and is an exclusive management services organization (MSO) for AC Wellness, a dedicated independent medical group that serves Apple Wellness Centers in Santa Clara Valley and digitally, across the US. Our mission is to deliver the world's best healthcare experiences for Apple employees and their families. The MSO is looking for a Billing Ops Analyst to support the medical claims lifecycle, and drive compliance in accordance with coding and billing guidelines.

Description

The Billing Ops Analyst is very detail-oriented, organized and highly-collaborative, has exceptional follow-through, is able to spot trends and patterns across large data sets, and is proactive and thoughtful in tackling and resolving issues. Responsibilities include:

• Reviewing details of submissions to ensure accuracy
• Performing root cause analysis for denials or holds
• Working cross-functionally with partner-vendors and internal teams to enhance efficiencies and automation
• Responding timely to clinic and patient inquiries
• Supporting special projects

This is a site-based role.

Minimum Qualifications

• 4+ years of medical billing experience
• Deep understanding of CPT and ICD-10 coding and billing processes
• Excellent customer service skills, ability to problem solve, and communicate collaboratively across cross-functional teams
• Highly accurate, with close attention to detail, and demonstrated ability to improve processes
• Robust organizational skills, experience managing high-volume and adapting to shifting priorities

Preferred Qualifications

• Coding certification AAPC/AHIMA, or in progress

At Apple, base pay is one part of our total compensation package and is determined within a range. This provides the opportunity to progress as you grow and develop within a role. The base pay range for this role is between $110,500 and $166,100, and your base pay will depend on your skills, qualifications, experience, and location. Apple employees also have the opportunity to become an Apple shareholder through participation in Apple's discretionary employee stock programs. Apple employees are eligible for discretionary restricted stock unit awards, and can purchase Apple stock at a discount if voluntarily participating in Apple's Employee Stock Purchase Plan. You'll also receive benefits including: Comprehensive medical and dental coverage, retirement benefits, a range of discounted products and free services, and for formal education related to advancing your career at Apple, reimbursement for certain educational expenses — including tuition. Additionally, this role might be eligible for discretionary bonuses or commission payments as well as relocation.

Apple is an equal opportunity employer that is committed to inclusion and diversity. We seek to promote equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.