Revenue Cycle Analyst-Private Pay

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 organizations work flow.

- Exceptional Medical terminology and coding knowledge.

- HCFA, UB and insurance knowledge.

Qualifications

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.