Account Analyst Ii- Spectrum

7 days ago


San Diego, California, United States Sharp Healthcare Full time
[H.S. Diploma or Equivalent

Hours:

Shift Start Time:

Variable

Shift End Time:

Variable

AWS Hours Requirement:

Additional Shift Information:

7am -9am

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):
$ $ $31.106

What You Will Do
To collect and follow up contract and commercial accounts.

Required Qualifications

  • 2 Years experience with patient accounts, patient access, billing/collections, or related.
  • 1 Year experience in a health care setting.

Preferred Qualifications

  • H.S. Diploma or Equivalent

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 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 nonGovernment insurance programs.
  • Ability to determine prime, secondary, and third party responsibility among insurance companies.
  • Familiarity with regulations governing collection proceedings.
  • Knowledge of ICD9 and CPT4 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

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