![BrightSpring Health Services](https://media.trabajo.org/img/noimg.jpg)
Accounts Receivable Process Analyst
2 weeks ago
Our Company:
BrightSpring Health Services
Overview:
**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
Qualifications:
- 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.
- 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
- Responsible use of confidential information.
- Must understand conditions of payment. Must have strong excel skills. Experience with State billing portals preferred.
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