Patient Financial Services Analyst

Summary

SouthEast Alaska Regional Health Consortium (SEARHC) is a non-profit health consortium serving the residents of Southeast Alaska. They are seeking a Patient Financial Services Analyst to identify trends and improve accounts receivable through analysis of charge validation and denials resolution, while performing various patient accounting functions.

Responsibilities

• Identifies, analyzes, and reconciles billing errors or omissions
• Ensures proper charge capture, billing, and adjudication of claims in accordance with federal, state and private billing guidelines
• Monitors Discharged Not Final Billed (DNFB) to determine necessary actions required to minimize the volume and value of accounts being held
• Responsible for analyzing and escalating themes for payer relation bulk resolution
• Obtains and compares data from multiple sources and reviews for discrepancies using various applications
• Supports the Patient Financial Services department with performing complex process and system analysis
• Provides guidance, communicates, and serves as subject matter expert for assigned service line related to the billing and collections process
• Assists with special projects as assigned by Revenue Cycle Leaders
• Other duties as assigned

Skills

• Bachelor's degree or equivalent years of relevant experience in a healthcare billing office
• Two years of experience in a healthcare billing office – required
• Knowledge of Hospital/clinic billing and collections
• Payor remittances and knowledge of CPT's, HCPCS, and Revenue Codes
• Major insurance companies' billing policies to ensure compliance
• Reconciling and balancing of payments received against account receivables
• Medical terminology
• Critical thinking skills (analyzing, problem-solving, troubleshooting)
• Organizational skills
• Oral and written communication skills
• Ability to collaborate within cross-functional teams
• Ability to complete data entry for a lengthy amount of time
• Ability to work on different projects simultaneously, in a fast-paced setting with overlapping commitments and deadlines

Qualifications

Must Haves

• Bachelor's degree or equivalent years of relevant experience in a healthcare billing office
• Two years of experience in a healthcare billing office – required
• Knowledge of Hospital/clinic billing and collections
• Payor remittances and knowledge of CPT's, HCPCS, and Revenue Codes
• Major insurance companies' billing policies to ensure compliance
• Reconciling and balancing of payments received against account receivables
• Medical terminology
• Critical thinking skills (analyzing, problem-solving, troubleshooting)
• Organizational skills
• Oral and written communication skills
• Ability to collaborate within cross-functional teams
• Ability to complete data entry for a lengthy amount of time
• Ability to work on different projects simultaneously, in a fast-paced setting with overlapping commitments and deadlines

Benefits

• Generous benefits, including retirement
• Paid time off
• Paid parental leave
• Health insurance
• Dental, and vision benefits
• Life insurance
• Long and short-term disability
• And more