Community Wellness Services Analyst

SouthEast Alaska Regional Health Consortium•Juneau, AK

19h

About The Position

This position functions within the SEARHC Community Wellness Department. It involves collaborating with other SEARHC departments and strategic partners to improve patient access to comprehensive prevention and healthcare services, including coordination of program activities, documentation of services, eligibility screening, reimbursement for services using grant funds, and expansion of services. The primary purpose 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. The role monitors trends to improve accounts receivable through analysis of charge validation and denials resolution and performs patient accounting functions such as verifying grant enrollment, accounts receivable management, and claims follow-up. SEARHC is a non-profit health consortium serving the health interests of the residents of Southeast Alaska. The organization sees its employees as its strongest assets and prioritizes their development and professional advancement. Working at SEARHC is described as a fulfilling career.

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
Knowledge of Processes to submit charges for grant expenses
Knowledge of Inpatient and outpatient billing processes
Knowledge of Payor remittances and CPT’s, HCPCS, and Revenue Codes
Knowledge of Major insurance companies' billing policies to ensure compliance with state and federal laws
Knowledge of Reconciling and balancing of payments received
Knowledge of Medical terminology
Skills in Assessment, anticipation of needs, and data collection
Skills in Electronic health records programs and data tracking software (Cerner/Meditech)
Skills in Excel spreadsheets
Skills in Outlook
Skills in SharePoint
Skills in OneDrive
Skills in MS Teams
Skills in MS Office Suite
Ability to multi-task
Ability to utilize organizational skills and time management
Ability to work autonomously
Ability to be self-motivated
Ability to reassess priorities throughout the work shift and adapt as necessary
Ability 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.