Revenue cycle analyst-private pay

Job Details:

Job Location: Adolescent Campus - Chamblee, GA

Education Level: Bachelor Degree

Salary Range: Undisclosed

Job Category: Accounting and Finance

Revenue Cycle Analyst – Private Pay Scope:

Assists in overall general daily operations of Patient Accounts Department. Exhibits exemplary customer service skills when dealing with co-workers, the public and any associated vendors, payers or department heads. Assists in finding solutions and resolution to service underpayments and assists team members in all aspects of the process. Responsible for the payment posting, timely billing and follow-up on all assigned accounts until paid or adjusted according to policies. Analyze account history to expedite payment and improve cash flow. Follow up with financially responsible party, as necessary, regarding the collection of past due accounts; minimum 30 accounts per day. Communicates effectively with director as needed to report problems and provide follow-up on status. May assist in preparing documents, spreadsheets or reports as requested.

Duties:

Assures pre-bills, monthly statements and payment processing is performed within departmental guidelines and works directly with director and co-workers to meet protocols, procedures and daily expectations of department. Work with accounting staff on daily cash reconciliation. Regularly meets with team and director to discuss problems, work flow issues and general departmental concerns. Possess in depth knowledge of HIPAA standards, compliance and follows appropriate reporting procedures. Regularly monitors reports for compliance with expected standards. Manages 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, treatment plans etc. Maintain control of accounts billed and pending to ensure full accountability for all assigned accounts. Follow-up on all unpaid accounts over 20 days. Analyze aging report to identify details of open account balances. Maintain documentation of all collection activity. Advise director of workload problems which may prevent timely follow up on accounts. Weekly tracking of unbilled accounts. Notify director of trends/issues. Work accounts on a daily basis to apply payments, financial aid awards, issue new pre-bill or apply monthly charges. Work with other departments on financial aid and necessary documentation to ensure timely collection of accounts. Demonstrate professionally aggressive yet conscientious collection efforts. Submit to director for approval all account adjustments as appropriate. Submit completed refund request documentation to director within policy guidelines. Resolve credit balance accounts on a monthly basis. Perform all other duties as assigned by director.

Reports to:

Director of Revenue Cycle Management

Competencies:

This position should have sufficient preparedness in the following areas: Extensive knowledge of healthcare billing. Exceptional customer service skills. Knowledge of Excel, Word, and other IT systems relevant to the organization’s work flow. Exceptional Medical terminology and coding knowledge. HCFA, UB and insurance knowledge.

Qualifications:

High School graduate or equivalent. 5+ years related experience in a high-volume healthcare setting with health insurance billing and AR related duties. Mental health billing experience preferred. Remote work opportunity available.