Accounts Receivable Process Analyst

Accounts Receivable Process Analyst

Requirements

• Minimum High School diploma or equivalent, associates degree or higher preferred.
• At least 2 years healthcare billing, private insurance and/or federally funded programs, researching agings and claims.
• Responsible use of confidential information.
• Must be able to read. Must have strong/professional communication skills (email and phone).
• Must understand conditions of payment. Must have strong excel skills.

Responsibilities

• Analyze aging for assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.
• Provide any additional research for accounts designated on the critical accounts list, code and comment prior to monthly Critical Account call.
• Rebill claims for any outstanding AR that is collectible. Provide detail comment in aging with payment date. Field questions throughout the month regarding revenue and aging issues.
• Process revenue adjustments throughout the month for assigned Operations.
• Balance, review and gain approvals for revenue adjustments.
• Process revenue for month end close.
• Upload or key revenue for operations, grants, etc.
• Complete revenue balancing and reporting.
• Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.
• Send cash transfer & check requests to the cash team
• Conduct monthly calls with business managers at the operations
• Prepare and document all allowances and/or revenue adjustments for future month to assist in forecasting according to policy and within the designated timeframe.
• Timely follow up on insurance claim denials, exceptions or exclusions.
• Reading and interpreting insurance explanation of benefits.
• Respond to inquiries from insurance companies, patients and providers.
• Regularly meet with Business Office Manager in Operations to discuss and resolve reimbursement issues or billing obstacles.
• Regularly attend monthly staff meetings and continuing educational sessions as requested.
• Perform additional duties as requested by Supervisor or Management team. Measurement: DSO, accounts worked per month, AR>90 days
• Other duties as assigned

Preferred Qualifications

• Experience in reading and understanding remits for denial reasons and experience with State Billing Portal sites, preferred.
• Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred.
• Experience with State billing portals preferred.