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Account Analyst Iii

3 months ago

San Diego, United States Sharp Healthcare Full time

[H.S. Diploma or Equivalent
**Hours**:
**Shift Start Time**:
7 AM
**Shift End Time**:
3:30 PM

**AWS Hours Requirement**:
8/40 - 8 Hour Shift

**Additional Shift Information**:
**Weekend Requirements**:
As Needed

**On-Call Required**:
No

**Hourly Pay Range (Minimum - Midpoint - Maximum)**:
$23.750 - $29.477 - $35.204

**What You Will Do**
To collect and follow up on contract and commercial accounts. The Account Analyst III serves as a mentor to the team regarding additional training and account expertise.

**Required Qualifications**
- 2 Years experience in all areas of billing.
- 1 Year accounts management experience in an acute care hospital.
- Experience with on-line computer system.
- Experience with regulations governing collection proceedings.

**Preferred Qualifications**
- H.S. Diploma or Equivalent

**Essential Functions**
- Code compliance
Review credit balance and reverse contractual adjustments when appropriate, and bill patient within 5 days of the remit trigger date.
Update statement status (ST), plan information (IV), financial class (YT) and standard message (NA) accurately.
Clearly document what patient balance consists of in IDX notes.
Commence direct follow-up action on unpaid accounts according to time frames indicated in the Guidelines for Account Analysts' Work Lists.
Monitor accounts within assigned rep work list via use of delinquency reports, team trend report, monthly aging and special reports.
- Productivity
Complete all special projects via assigned ATB's and maintain productivity standards within departmental guidelines.
Participate in the achievement of cash collection goal through timely follow-up activity.
- Teamwork
Demonstrates teamwork, cooperation, initiative, and safety awareness by actively participating in achieving Team and Department goals in a safe and quality conscious manner; maintaining appropriate desk organization; adhering to policies and procedures; accepting interpersonal differences, and promoting cooperation with fellow employees.
Respond to the information request from the QA Team within 24 hours of initial request.
Provides quality customer service to patients, hospitals, physicians, insurance companies, and co-workers by adhering to the Mission, Values, and Philosophy of Sharp HealthCare.

**Knowledge, Skills, and Abilities**
- Typing speed of 50 wpm, or in-line keying speed of 50 wpm, 10-key by touch.
- General knowledge of office procedures and ability to utilize resources in an organized manner.
- Ability to discuss personal and financial matters with patients and/or their representatives regarding credit and collection policies and procedures.
- Good telephone communication skills and the ability to communicate verbally and in writing.
- Knowledge of benefits, covered services, and billing procedures of all Government and non-Government insurance programs.
- Ability to determine prime, secondary, and third party responsibility among insurance companies.
- Knowledge of ICD-9 and CPT-4 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