Account Analyst I (AR Control Analyst)

Summary

Monday to Friday, Full-time — Hybrid (Onsite as needed)

Additional Information

• Analyzes remittances to assure proper posting of payments, denials, adjustments, refunds, and charge corrections to patient accounts.
• Verifies accuracy of both manual and automated postings.
• Receives and scans hardcopy remittances, deposits guarantor payments, investigates and resolves accounts with credit balances, bills and collects client accounts.

Required Education

High school diploma or GED or equivalent

Required Work Experience

High School Diploma/GED, or 2 years of experience in lieu of a diploma/GED.

Required Certifications

N/A

Description

• Prepares Patient Accounts’ portion of Medicare/Medicaid cost reporting logs.
• Validates and reconciles manual and automated postings are fully supported by proper documentation.
• Researches and resolves posting variances.
• Maintains reports to identify and report outstanding, unreconciled items.
• Accurately posts payments, denials, and adjustments from remittance advices to the appropriate patient, account, bill and claim.
• Identifies and reports errors in payer discount calculations related to our major contracted payers.
• Creates electronic reports identifying Patient Accounts in credit balance and resolves the balance using the correct financial transaction needed to bring account to the correct balance.
• Ensures documentation of rationale for the recommended action and obtains appropriate approvals for higher-dollar refunds.
• Receives and reviews Charge Correction requests and posts to appropriate accounts.
• Bills Client Accounts and assures timely and accurate payment of those accounts.
• Accurately and timely imaging (scanning) of hardcopy remittance advices so that the remit information is electronically available.
• Receives mail coming into the Department, and accurately distributes it to the appropriate party.
• Documents receipt of guarantor direct payments and assures these payments are promptly and correctly deposited.
• Performs other duties as assigned.