Accounts Receivable Process Analyst
About The Position
BrightSpring Health Services is seeking an Accounts Receivable Process Analyst to join their Finance and Accounting team. This role focuses on the organization's financial management strategies and execution, specifically in maximizing costs and minimizing expenses. The analyst will be responsible for analyzing aging for assigned operations, following up on outstanding accounts, rebilling claims, processing revenue adjustments, and performing month-end close tasks related to revenue. This position requires maintaining open communication with various internal teams and external parties, conducting calls with business managers, and documenting allowances and adjustments. The role also involves timely follow-up on insurance claim denials and understanding explanations of benefits. Success in this role will be measured by DSO, accounts worked per month, and AR>90 days.
Requirements
- Minimum High School diploma or equivalent
- At least 2 years healthcare billing, private insurance and/or federally funded programs, researching agings and claims.
- Responsible use of confidential information.
- Must be able to read.
- Must have strong/professional communication skills (email and phone).
- Must understand conditions of payment.
- Must have strong excel skills.
Nice To Haves
- associates degree or higher preferred
- Experience in reading and understanding remits for denial reasons
- Experience with State Billing Portal sites, preferred
- Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred
- Experience with State billing portals preferred
Responsibilities
- Analyze aging for assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.
- Provide any additional research for accounts designated on the critical accounts list, code and comment prior to monthly Critical Account call.
- Rebill claims for any outstanding AR that is collectible. Provide detail comment in aging with payment date. Field questions throughout the month regarding revenue and aging issues.
- Process revenue adjustments throughout the month for assigned Operations.
- Balance, review and gain approvals for revenue adjustments.
- Process revenue for month end close.
- Upload or key revenue for operations, grants, etc.
- Complete revenue balancing and reporting.
- Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.
- Send cash transfer & check requests to the cash team.
- Conduct monthly calls with business managers at the operations.
- Prepare and document all allowances and/or revenue adjustments for future month to assist in forecasting. according to policy and within the designated timeframe.
- Timely follow up on insurance claim denials, exceptions or exclusions.
- Reading and interpreting insurance explanation of benefits.
- Respond to inquiries from insurance companies, patients and providers.
- Regularly meet with Business Office Manager in Operations to discuss and resolve reimbursement issues or billing obstacles.
- Regularly attend monthly staff meetings and continuing educational sessions as requested.
- Perform additional duties as requested by Supervisor or Management team.
- Other duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
