Account Analyst I (Biller - Collector)
About The Position
This position is responsible for preparing accurate and complete medical claims/billings for timely submission to third-party payers. The role involves follow-up and collection activities to ensure prompt and proper payment from third-party payers. The Account Analyst I must possess knowledge of medical billing requirements and software products essential to performing job duties. Key responsibilities include analyzing claims for payment, resolving denials, and identifying problem trends for resolution. Arkansas Children’s is the only hospital system in the state dedicated to caring for children, enabling it to uniquely shape the landscape of pediatric care in Arkansas. The organization is driven by four core values—safety, teamwork, compassion and excellence. Arkansas Children’s Hospital has received Magnet Status from the American Nurses Credentialing Center (ANCC) for nursing excellence and patient outcomes and is nationally ranked by U.S. News & World Report in several pediatric specialties. For over a century, Arkansas Children’s has met the unique needs of children through its two hospitals, a pediatric research institute, foundation, clinics, education, and outreach.
Requirements
- High school diploma or GED or equivalent
- 2 years of experience in lieu of a diploma/GED
- Knowledge of medical billing requirements and software products essential to performing job duties.
Nice To Haves
- Bachelor's degree in a related field of study.
Responsibilities
- Analyzes medical claims to assure they are complete and accurate and have any required attachments before being filed to payer (clean claim).
- Expedites proper adjudication of claims by payer to maximize reimbursement and minimize older age accounts. Identifies claims that have not been adjudicated and assures they are adjudicated promptly. Analyzes reason given for claim not being adjudicated and how we might overcome lack of adjudication.
- Reviews adjudicated claims to assure they were properly adjudicated with the proper payment amount and to assure that unpaid amounts are valid and properly categorized. Appeals claims that are improperly adjudicated so they are promptly corrected.
- Identifies problems and patterns, quantifies, reports and resolves problems.
- Establishes effective working relationships with internal and external customers to expedite creation of clean claims and prompt and proper adjudication of claims. Communicates technical information accurately and effectively whether in writing or orally. Excellent ability to think on feet.
- Performs other duties as assigned.
Benefits
- Flu vaccines are required.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
