Patient Accounts Analyst

BJC HealthCare • St. Louis, MO

3d

About The Position

BJC HealthCare is seeking a Patient Accounts Analyst to join our clinical appeals team! In this role, you will be analyzing trends for insurance appeals and denials as well as participating in provider huddles. The Patient Accounts Analyst ensures that all insurance, accounts receivable and billing processes are completed accurately and timely. This includes, but is not limited to cash posting, billing, and the review & reconciliation of individual patient accounts. This position provides support to internal departments on AR matters and works closely with their management team to maintain efficient operations and to proactively identify and resolve issues.

Requirements

• High School Diploma or GED
• 2-5 years experience

Responsibilities

• Analyzes payment trends in the Account Receivable and denials to work with various payors and provider representatives to ensure accuracy among our payor contracts; provides expertise in payment and contractual allowances to ensure accuracy among our payor contracts, clinical arrangements and hospital agreements.
• Monitors reimbursements from third party carriers as defined in contracts through federal and state requirements; ensures appropriate reimbursement among various specialty billing areas and complex claims.
• Analyzes, develops and prepares reports for leadership utilized for operations and identifying trends; utilizes knowledge of all aspects of the revenue cycle to make sound decisions as it relates to the remediation of claims.
• Participates in regular meetings with payor representatives, clinical departments or hospital facilities; studies data, identifies discrepancy patterns and presents solutions; analyzes clinical or payor data to make informed decisions on the remediation of patient accounts.
• Provides informal guidance, support and training to team members to aid in achieving revenue management's operational objectives.

Benefits

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines 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