Account Analyst II - Denials / Follow Up Team - PFS Revenue Integrity - Sharp Corporate - Day Shift - Full Time

Sharp HealthCare • San Diego, CA

9d • Onsite

About The Position

To collect and follow up on contract and commercial accounts.

Requirements

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

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED