Sharp HealthCare Looking for Account Analyst II / PFS Clinics / Full Time / Kearny Mesa at Orange, CA, , USA Full Time

Hours
Shift Start Time:

8 AM Shift End Time:

5 PM Additional Shift Information:

7-5:
30 Weekend Requirements:

As Needed On-Call Required:

No
What You Will Do
To collect and follow up contract and commercial accounts.
Required Qualifications

• H.S. Diploma or Equivalent
• 2 Years Experience in all areas of billing.
• 1 Year Accounts management experience in an acute care hospital.

Essential Functions

• Account monitoring
  Monitor accounts within assigned rep work list via use of delinquency reports, team trend report, monthly aging and special reports.
• Billing accuracy
  Review account after payment for correct patient balance and apply necessary adjustments prior to patient or secondary carrier billing.
  Review credit balances and reverse contractual adjustments when appropriate, and bill patient within 5 days of the remit trigger date.
  Update statement status), plan information, financial class and standard message accurately.
  Clearly document what patient balance consists of.
• Cash collection
  Participate in the achievement of cash collection goal through timely follow-up activity.
• Collections
  Commence direct follow-up action on unpaid accounts according to time frames indicated in the Guidelines for Account Analysts’ Work Lists.
• Complete all special projects
  Complete all special projects via assigned ATBs and maintain productivity standards within departmental guidelines.

Knowledge, Skills, and Abilities

• Knowledge of benefits, covered services, and billing procedures of all Government and non-Government insurance programs.
• Ability to determine prime, secondary, and third party responsibility among insurance companies.
• Familiarity with regulations governing collection proceedings.
• Knowledge of ICD-9 and CPT-4 codes, and basic medical terminology.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
H.S. Diploma or EquivalentEstimated Salary: $20 to $28 per hour based on qualifications.