Revenue Cycle Analyst-Private Pay

SKYLAND TRAIL•Chamblee, GA

About The Position

The Revenue Cycle Analyst – Private Pay assists with the daily operations of the Patient Accounts Department and provides customer service to coworkers, the public, vendors, payers, and department heads. The role handles payment posting, timely billing, account follow-up, collections, and account analysis to expedite payments and improve cash flow. The analyst follows assigned accounts through payment or adjustment in accordance with departmental policies, and follows up with financially responsible parties on past-due accounts, with a minimum target of 30 accounts per day. The role reports problems and status updates to the Director of Revenue Cycle Management and may prepare documents, spreadsheets, or reports as requested. The analyst works with the director, coworkers, accounting staff, and other departments to meet departmental procedures and expectations, reconcile daily cash, address financial aid documentation, and support timely account collection. The role maintains HIPAA compliance, monitors reports, manages client statement issues, audits account records, tracks unbilled and unpaid accounts, documents collection activity, and resolves credit balances. A remote work opportunity is available.

Requirements

High school graduate or equivalent.
At least 5 years of related experience in a high-volume healthcare setting, including health insurance billing and accounts receivable duties.
Extensive knowledge of healthcare billing.
Exceptional customer service skills.
Knowledge of Excel, Word, and other IT systems relevant to the organization’s workflow.
Exceptional medical terminology and coding knowledge.
Knowledge of HCFA, UB, and insurance.

Nice To Haves

Mental health billing experience.

Responsibilities

Assists with the daily operations of the Patient Accounts Department and provides exemplary customer service to coworkers, the public, vendors, payers, and department heads.
Post payments, ensure timely billing, and follow up on assigned accounts until paid or adjusted according to policy.
Analyze account history and aging reports to expedite payment, improve cash flow, and identify open account balances.
Contact financially responsible parties regarding past-due accounts, with a minimum of 30 accounts per day.
Communicate problems and account follow-up status to the Director of Revenue Cycle Management.
Prepare documents, spreadsheets, or reports as requested.
Ensure pre-bills, monthly statements, and payment processing are completed within departmental guidelines.
Work with accounting staff on daily cash reconciliation.
Meet with the team and director to discuss problems, workflow issues, and departmental concerns.
Follow HIPAA standards and compliance requirements, use appropriate reporting procedures, and monitor reports for compliance.
Manage client statement issues as needed.
Initiate pre-billing on private-pay accounts at admission or when authorization is lost.
Audit accounts to ensure pertinent information is captured, including payment method, clinical notes, and treatment plans.
Maintain control and accountability for assigned billed and pending accounts.
Follow up on unpaid accounts over 20 days and maintain documentation of collection activity.
Track unbilled accounts weekly and notify the director of trends or issues.
Work accounts daily to apply payments and financial aid awards, issue new pre-bills, or apply monthly charges.
Coordinate with other departments on financial aid and required documentation to support timely collections.
Make professionally assertive and conscientious collection efforts.
Submit account adjustments to the director for approval as appropriate.
Submit completed refund request documentation to the director within policy guidelines.
Resolve credit balance accounts monthly.
Perform other duties as assigned by the director.