Patient Accounting Analyst- Onsite

Bronson Healthcare•Portage, WI

5d•Onsite

About The Position

The Patient Accounting Analyst facilitates payment from third-party payers and coordinates the work of payer team Reimbursement Specialists. The role supports accurate billing, claim status and collection activities, third-party payment posting when applicable, reimbursement calculations, correspondence processing, and maintenance of current knowledge of contracts and government regulations across multiple entities. The position requires a thorough understanding of the revenue cycle and a focus on securing appropriate financial resources to maximize reimbursement to the health system. The analyst is accountable for payer-compliant claims and preparation of documentation to maximize reimbursement. The role analyzes coding, charges, account information, requests, rejections, liabilities, credits, and unbilled accounts; performs account postings, adjustments, and refunds; and applies payer contracts and government regulations. It also provides team leadership, workflow coordination, training, mentoring, performance metrics support, and recommendations for billing-system improvements. The position is onsite at Bronson’s Business Office Building in Portage, Michigan, and is scheduled for first shift, 40 hours per week.

Requirements

High school diploma or GED required.
Five years of experience in medical billing and receivables management required.
Must successfully pass EUPAs for all Epic applications associated with the position within the first 90 days.
Excellent oral, written, organizational, and interpersonal skills.
Strong computer and general office equipment knowledge, including relevant programs such as Excel.
Knowledge of medical terminology, ICD-9 and CPT-4 coding, national billing forms, third-party payers, managed care, reimbursement, and regulatory compliance.
Ability to type 45 words per minute.
Understanding of the revenue cycle and the importance of evaluating and securing appropriate financial resources for patients to maximize health-system reimbursement.
Ability to maintain a self-directed, mature, and disciplined approach to completing work duties.
Ability to teach new skills and processes, motivate team members, mentor less experienced colleagues, and analyze communication styles in response to verbal inquiries.

Nice To Haves

Associate’s degree in Business or Finance preferred.

Responsibilities

Ensure claims comply with payer specifications and applicable state, federal, and HIPAA regulations.
Prepare documentation to maximize reimbursement.
Analyze CPT-4, ICD-9, UB04, and charge assignments for accuracy and reimbursement potential.
Analyze and process third-party and internal information requests and rejections to resolve accounts receivable.
Analyze and process documents related to third-party liabilities, outstanding credits, and unbilled accounts.
Post payments, make account adjustments and refunds, and review contractual allowances and other arrangements.
Apply current contracts and governmental regulations, including referrals for legal intervention when appropriate, across multiple entities.
Use multiple computer systems to support revenue-cycle work, including STAR, EC2000, EPIC, SSI, Compliance Advisor, Medicare, Blue Cross, GLMI Home Health Billing, and CPR+ Home Infusion Billing systems.
Provide coverage and address concerns in the manager’s absence during short-staff situations.
Identify potential process improvements and independently assume team leadership as needed.
Keep current with payer regulation changes and trends in billing and collections.
Assist the team manager with directing workflow and coordinate and facilitate the work of other team members.
Gather and summarize statistics for designated metrics, such as accounts-receivable dollars, accounts-receivable days, and denied claims.
Develop and maintain detailed knowledge of complex payer regulations and requirements; serve as the team expert on assigned regulations and billing or follow-up issues.
Recommend and develop team-specific modifications to billing systems.
Educate and train team members, participate in external organizations or training sessions, and share relevant information with the team.
Assist with team and individual training and orientation.
Take on new and additional responsibilities, embrace new ideas and cultural differences, and manage competing priorities.