Community Wellness Services Analyst

SouthEast Alaska Regional Health Consortium (SEARHC)

7d•$30 - $42

About The Position

This position functions within the SEARHC Community Wellness Department. This position will collaborate with other SEARHC departments and strategic partners to improve patient access to comprehensive prevention and healthcare services. This would include, but not limited to, coordination of program activities, documentation of services, eligibility screening, reimbursement for services using grant funds, and expansion of services. The purpose of this position is to identify and assure payment of Community Wellness grant programming, ensuring utilization of grant funding for eligible patients, and promoting cost-effective health care outcomes. This position will monitor trends that will improve the overall accounts receivable by completing analysis of charge validation and denials resolution. The CW Services Analyst will also perform a variety of patient accounting functions including verifying grant enrollment, accounts receivable management, and claims follow-up. SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more. Shift Details Monday - Friday, 8AM - 5PM

Requirements

Bachelor’s degree or equivalent years of relevant experience in accounting, data entry, in-patient or outpatient hospital setting
Four years or more of experience working with the healthcare revenue cycle
Knowledge of Customer service principles
Processes to submit charges for grant expenses
Inpatient and outpatient billing processes
Payor remittances and CPT’s, HCPCS, and Revenue Codes
Major insurance companies' billing policies to ensure compliance with state and federal laws
Reconciling and balancing of payments received
Medical terminology
Skills in Assessment, anticipation of needs, and data collection
Electronic health records programs and data tracking software (Cerner/Meditech)
Excel spreadsheets
Outlook
SharePoint
OneDrive
MS Teams
MS Office Suite
Able to multi-task
Able to utilize organizational skills and time management
Able to work autonomously
Be self-motivated
Ability to reassess priorities throughout the work shift and adapt as necessary
Able to successfully communicate both verbally and written
Ability to analyze, problem-solve, troubleshoot challenges
Occasional travel, as needed

Nice To Haves

Grant experience preferred

Responsibilities

Obtains and compares data from multiple sources and reviews for discrepancies using various applications
Performs quality assurance and validation tasks
Provides education to patient revenue generating departments to ensure compliant charging and coding practices for the Community Wellness Department
Collaborate with Patient Financial Services, Patient Access and Community Wellness Departments to develop and support workflows
Review provider documentation to ensure reimbursement for services
Reviews requests from other departments related to coding and charge capture
Provides guidance, communicates, and serves as subject matter expert for assigned service line related to the billing process, and other related subjects related to Community Wellness charges
Collaborate within cross-functional teams
Complete data entry for a lengthy amount of time
Work on different projects simultaneously, in a fast-paced setting with overlapping commitments and deadlines
Performs other duties as assigned, including special projects deemed necessary to meet grant guidelines
Assist the Community Wellness Department in achieving grant requirements and goals
Occasional travel is required. Travel is by jet, small aircraft, or ferry.