Patient Accounts Analyst

BJC HealthCare • St. Louis, MO

12d

About The Position

BJC HealthCare is seeking a Patient Accounts Analyst to review Medicare risk plans for variances, identify trends, and follow up. The role ensures that insurance, accounts receivable, and billing processes are completed accurately and on time, including cash posting, billing, and reviewing and reconciling individual patient accounts. The analyst supports internal departments on accounts receivable matters and works with the management team to maintain efficient operations and proactively identify and resolve issues.

BJC HealthCare is a nonprofit health care organization serving the greater St. Louis, southern Illinois, and southeast Missouri regions. It has more than 30,000 employees and 14 hospitals, along with multiple community health locations. BJC provides a range of inpatient, outpatient, community, and other health services and supports research and community health programs.

Requirements

• High school diploma or GED.
• 2–5 years of experience.

Responsibilities

• Analyze payment trends in accounts receivable and denials, working with payors and provider representatives to ensure accuracy under payor contracts.
• Provide expertise in payment and contractual allowances to support accurate application of payor contracts, clinical arrangements, and hospital agreements.
• Monitor third-party carrier reimbursements as defined by contracts and federal and state requirements; ensure appropriate reimbursement for specialty billing areas and complex claims.
• Analyze, develop, and prepare reports for leadership to support operations and identify trends.
• Use revenue cycle knowledge to make sound decisions about claims remediation.
• Participate in regular meetings with payor representatives, clinical departments, and hospital facilities.
• Study data, identify discrepancy patterns, present solutions, and analyze clinical or payor data to inform patient account remediation decisions.
• Provide informal guidance, support, and training to team members to help achieve revenue management operational objectives.

Benefits

• Comprehensive medical, dental, vision, and life insurance, and legal services available the first day of the month after hire.
• Disability insurance paid for by BJC.
• Annual 4% BJC Automatic Retirement Contribution.
• 401(k) plan with BJC match.
• Tuition assistance available on the first day.
• BJC Institute for Learning and Development.
• Health Care and Dependent Care Flexible Spending Accounts.
• Paid Time Off combining vacation, sick days, holidays, and personal time.
• Adoption assistance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED