Accounts Receivable Analyst - PFS - RCSSD

Rady Children's Hospital-San Diego•San Diego, CA

35d•$27 - $37

About The Position

The AR Data Analyst is responsible for analyzing and maintaining billing integrity and overseeing accounts receivable for the entire Medical Practice Foundation. This includes auditing the billing data for accuracy, trending and tracking A/R and denials, identifying root cause. The AR Analyst responsibilities also include project analysis and management to resolve identified concerns along with daily operational issues associated with AR and denials. The Analyst supports the overall MPF business by providing deliverables as a leader to the team's performance and outcomes relative to department needs and goals. Should be well versed with state and federal regulatory agencies and have extensive knowledge of payor guidelines to maintain up-to-date information on changing policies impacting revenue cycle and to aid in preventing denials. The AR Analyst works with various levels of end-users and leadership as a subject matter expert to ensure billing accuracy, denial solution rectification and prevention as well as proper follow up steps are being followed to decrease accounts receivable and increase reimbursement. The Analyst responsibilities also include facilitating monthly payor meetings for the department to address and rectify billing issues. Identifies and helps implement process efficiencies across departments including automation and workflow enhancement opportunities to reduce errors, denials, and improve productivity.

Requirements

HS Diploma, GED, or Equivalent
5 years of experience
In-depth knowledge of insurance plans
Ability to think analytically
Medical billing experience

Nice To Haves

Certification in Epic PB AR Follow-up

Responsibilities

analyzing and maintaining billing integrity
overseeing accounts receivable
auditing the billing data for accuracy
trending and tracking A/R and denials
identifying root cause
project analysis and management to resolve identified concerns
daily operational issues associated with AR and denials
providing deliverables as a leader to the team's performance and outcomes relative to department needs and goals
maintaining up-to-date information on changing policies impacting revenue cycle and to aid in preventing denials
ensuring billing accuracy, denial solution rectification and prevention as well as proper follow up steps are being followed to decrease accounts receivable and increase reimbursement
facilitating monthly payor meetings for the department to address and rectify billing issues
identifying and helps implement process efficiencies across departments including automation and workflow enhancement opportunities to reduce errors, denials, and improve productivity