Account Analyst III

JOB SUMMARY/PURPOSE

Responsible for accurately and productively analyzing Physician and Facility accounts. Identifies, researches and resolves problem accounts; and forwards if needed for the purpose of resolution. Serves as a lead/resource for department staff, which includes monitoring and training staff.

DEPARTMENT DESCRIPTION

The Contract Management teams at Samaritan Health Services are committed to building relationships with payors as well as involved in contract review, negotiation and performance. The teams work closely with all departments within the Health System relative to contract compliance and managed care issues. We also work closely with the Quality, Population Health and Clinical teams exploring and negotiating new payment methodologies, and developing, implementing, and managing value based payment strategies. We also build and maintain the payor contracts in the computer system.

EXPERIENCE/EDUCATION/QUALIFICATIONS

• High school diploma or equivalent required. College preferred.
• Three (3) years collections, finance/accounting or medical billing experience required.
• Three (3) years experience equivalent to an SHS Account Analyst level II role required.
• Experience or training in the following required:
• EPIC Software.
• ICD-9 or CPT.
• Medical Terminology.

KNOWLEDGE/SKILLS/ABILITIES

• Confidentiality: Knowledge of the importance of confidentiality.
• Communication: Communicate information verbally and in writing so others will understand.
• Customer Service: Ability to communicate to people internal and external to the organization and to represent the organization to customers, the public and external sources.
• Problem Solving: Ability to identify problems and review related information using logic and reasoning to evaluate options and implement solutions.
• Team Building: Ability to work as part of a team or on your own.
• Mastery knowledge of policies and procedures related to the resolution of accounts/claims.

PHYSICAL DEMANDS

• Rarely (1 - 10% of the time)
• Occasionally (11 - 33% of the time)
• Frequently (34 - 66% of the time)
• Continually (67 – 100% of the time)
• CLIMB - STAIRS LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
• LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
• LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
• CARRY 1-handed, 0 - 20 pounds
• CARRY 2-handed, 0 - 20 pounds
• BEND FORWARD at waist
• KNEEL (on knees)
• STAND WALK - LEVEL SURFACE
• ROTATE TRUNK
• SIT ROTATE TRUNK
• REACH - Upward
• PUSH (20-40 pounds force)
• PULL (0-20 pounds force)
• REACH - Forward
• MANUAL DEXTERITY Hands/wrists
• FINGER DEXTERITY PINCH Fingers
• GRASP Hand/Fist