Account Analyst II - Denials / Follow Up Team - PFS Revenue Integrity

Hours:

Shift Start Time:

8 AM

Shift End Time:

5 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Start time can vary.

Weekend Requirements:

As Needed

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$26.120 - $31.340 - $35.100

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. 

What You Will Do
To collect and follow up on contract and commercial accounts.

Required Qualifications

• H.S. Diploma or Equivalent
• 2 Years experience with patient accounts, patient access, billing/collections, or related.
• 1 Year experience in a healthcare setting.

Essential Functions

• Billing Accuracy
  Review account after payment for correct patient balance and apply necessary adjustments prior to patient or secondary carrier billing.
  Review credit balances and reverse contractual adjustments when appropriate, and bill patient within 5 days of the remit trigger date.
  Update statement status (ST), plan information (IV), financial class (YT) and standard message (NA) accurately.
  Clearly document what patient balance consists of in Centricity notes.
  Commence direct follow-up action on unpaid accounts according to time frames indicated in the Guidelines for Account Analysts' Work Lists.
  Monitor accounts within assigned rep work list via use of delinquency reports, team trend report, monthly aging and special reports.
• Productivity
  Complete all special projects via assigned ATB's and maintain productivity standards within departmental guidelines.
  Participate in the achievement of cash collection goal through timely follow-up activity.
• Teamwork
  Demonstrates teamwork, cooperation, initiative, and safety awareness by actively participating in achieving Team and Department goals in a safe and quality conscious manner; maintaining appropriate desk organization; adhering to policies and procedures; accepting interpersonal differences, and promoting cooperation with fellow employees.
  Respond to the information request from the QA Team within 24 hours of initial request.
  Provides quality customer service to patients, hospitals, physicians, insurance companies, and co-workers by adhering to the Mission, Values, and Philosophy of Sharp HealthCare.

Knowledge, Skills, and Abilities

• Knowledge of benefits, covered services, and billing procedures of all Government and non-Government insurance programs.
• Ability to determine prime, secondary, and third party responsibility among insurance companies.
• Familiarity with regulations governing collection proceedings.
• Knowledge of ICD-10 and CPT-4 codes, and basic medical terminology.
• Typing speed of 50 wpm, or in-line keying speed of 50 wpm, 10-key by touch.
• General knowledge of office procedures and ability to utilize resources in an organized manner.
• Ability to discuss personal and financial matters with patients and/or their representatives regarding credit and collection policies and procedures.
• Good telephone communication skills and the ability to communicate verbally and in writing.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class