[Hiring] Revenue Cycle Analyst @SKYLAND TRAIL

Role Description

Assists in overall general daily operations of Patient Accounts Department. Exhibits exemplary customer service skills when dealing with co-workers, the public and any associated vendors, payers or department heads. Assists in finding solutions and resolution to service underpayments and assists team members in all aspects of the process.

• Responsible for the payment posting, timely billing and follow-up on all assigned accounts until paid or adjusted according to policies.
• Analyze account history to expedite payment and improve cash flow.
• Follow up with financially responsible party, as necessary, regarding the collection of past due accounts; minimum 30 accounts per day.
• Communicates effectively with director as needed to report problems and provide follow-up on status.
• May assist in preparing documents, spreadsheets or reports as requested.

Duties:

• Assures pre-bills, monthly statements and payment processing is performed within departmental guidelines and works directly with director and co-workers to meet protocols, procedures and daily expectations of department.
• Work with accounting staff on daily cash reconciliation.
• Regularly meets with team and director to discuss problems, work flow issues and general departmental concerns.
• Possess in depth knowledge of HIPAA standards, compliance and follows appropriate reporting procedures.
• Regularly monitors reports for compliance with expected standards.
• Manages client statement issues as needed.
• Initiate pre-billing on private pay accounts at admission or when authorization is lost. Audit accounts to ensure pertinent information is captured, including payment method, clinical notes, treatment plans etc.
• Maintain control of accounts billed and pending to ensure full accountability for all assigned accounts.
• Follow-up on all unpaid accounts over 20 days. Analyze aging report to identify details of open account balances.
• Maintain documentation of all collection activity. Advise director of workload problems which may prevent timely follow up on accounts.
• Weekly tracking of unbilled accounts. Notify director of trends/issues.
• Work accounts on a daily basis to apply payments, financial aid awards, issue new pre-bill or apply monthly charges.
• Work with other departments on financial aid and necessary documentation to ensure timely collection of accounts.
• Demonstrate professionally aggressive yet conscientious collection efforts.
• Submit to director for approval all account adjustments as appropriate.
• Submit completed refund request documentation to director within policy guidelines.
• Resolve credit balance accounts on a monthly basis.
• Perform all other duties as assigned by director.

Qualifications

• High School graduate or equivalent.
• 5+ years related experience in a high-volume healthcare setting with health insurance billing and AR related duties.
• Mental health billing experience preferred.
• Remote work opportunity available.

Requirements

• Extensive knowledge of healthcare billing.
• Exceptional customer service skills.
• Knowledge of Excel, Word, and other IT systems relevant to the organization’s work flow.
• Exceptional Medical terminology and coding knowledge.
• HCFA, UB and insurance knowledge.

Reports to

Director of Revenue Cycle Management