Patient Accounts Analyst

BJC HealthCare•St. Louis, MO

11d

About The Position

BJC HealthCare is seeking a Patient Accounts Analyst for home health claims, with a strong background in Medicare and/or home health billing. The role ensures 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 management to maintain efficient operations and proactively identify and resolve issues.

Requirements

High school diploma or GED.
2–5 years of experience.
Strong background in Medicare and/or home health billing.

Responsibilities

Analyze accounts receivable payment trends and denials, working with payors and provider representatives to ensure accuracy with payor contracts.
Provide expertise in payments and contractual allowances to ensure accuracy across payor contracts, clinical arrangements, and hospital agreements.
Monitor third-party carrier reimbursements under 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 claims-remediation decisions.
Participate in meetings with payor representatives, clinical departments, and hospital facilities; study data, identify discrepancy patterns, present solutions, and analyze clinical or payor data to guide patient-account remediation.
Provide informal guidance, support, and training to team members to help achieve revenue management operational objectives.