Patient Accounting Analyst

Performing Duties

Performs duties necessary to facilitate payment from third party payers and coordinate the work of the payer team Reimbursement Specialists. This includes correct billing, statusing and collection from third parties, posting third party payments (if applicable), computing correcting reimbursement, processing incoming and outgoing correspondence, and maintaining a working knowledge of current contracts and government regulations for multiple entities.

Qualifications

• High school diploma or general education degree (GED) required.
• Associate's degree in Business or Finance preferred.
• 5 years experience in medical billing and receivables management required.
• Successfully pass EUPA's for all Epic applications associated with position within the first 90 days in the position.
• Excellent oral, written, organization and interpersonal skills.
• Strong computer and general office equipment knowledge required, including relevant computer programs (e.g. Excel).
• Knowledge of medical terminology, ICD-10 and CPT-4 coding, National Billing forms, third-party payers, managed care, reimbursement and regulatory compliance required.
• Ability to type 45 words per minute.

Physical Demands

Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects. Accountable for ensuring claims are compliant with all payer specifications; State, Federal and HIPAA regulations. Prepares documentation to maximize reimbursement. Analyze assignment of all CPT-4, ICD-10, UB04 and charges for accuracy and to maximize reimbursement. Critically analyze and process third party and internal information requests and rejections in an effort to resolve accounts receivable. Critically analyze and process documents for resolution of third party liabilities, outstanding credits and un-billed accounts. Make all necessary posting, adjustments and refunds to accounts and critique contractual allowances and other arrangements. Responsible for complete understanding and application of current contracts and governmental regulations including referrals for legal intervention for multiple entities.

Skills

• Understanding the revenue cycle and the importance of evaluation & securing all appropriate financial resources for patients to maximize reimbursement to the health system.
• Maintaining a self-directed, mature, disciplined approach to completing work duties.
• Acting as a team motivator, consistently challenging team members to higher levels of performance.
• Acting as a mentor to less experienced members of the team.
• Quickly analyzing communication style based on nature and approach of verbal inquiry.
• Proficient in the revenue cycle process via multiple computer systems including but not limited to: EPIC, OnBase, SSI, external payer portals, etc.
• Providing for coverage, answering concerns in the absence of manager in short staff situations.
• Assuming team leadership independently identifying potential improvement opportunities that could be put into practice in the day-to-day work of each payer team.
• Keeping abreast of changes in payer regulations and trends in the field of billing and collections.
• Assisting team manager in directing general work flow of team.
• Coordinating and facilitating work of other team members.
• Assisting in gathering and summarizing relevant statistics per designated metrics (e.g. A/R dollars, A/R days, claims denied) on a regular basis.
• Developing and maintaining detailed knowledge of complex payer regulations and requirements for multiple payers.
• Acting as “team expert” with regard to specific regulations and billing/follow up issues.
• Recommending and developing team-specific modifications to all billing systems.
• Participating in external organizations or training sessions and relating information back to team members.
• Demonstrating exceptional ability and willingness to take on new and additional responsibilities.
• Embracing new ideas and cultural differences while managing competing priorities.

Pay

$XX.XX - $XX.XX per hour

Schedule

First Shift - Full time - 40 hours weekly