Patient Accounts Analyst

1 day ago

St Louis, Missouri, United States BJC HealthCare Full time
Additional Information About the Role

BJC HealthCare is seeking a Patient Accounts Analyst who will be writing appeals for denials for Medicaid and Medicaid risk plans for Mo. and IL. for hospital side based on contract language.

If you have experience writing denial appeals, apply today 

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

BJC's patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children's Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

Preferred Qualifications

Role Purpose

The Patient Accounts Analyst ensures that all insurance, accounts receivable and billing processes are completed accurately and timely. This includes, but is not limited to cash posting, billing, and the review & reconciliation of individual patient accounts. This position provides support to internal departments on AR matters and works closely with their management team to maintain efficient operations and to proactively identify and resolve issues.

Responsibilities

Analyzes payment trends in the Account Receivable and denials to work with various payors and provider representatives to ensure accuracy among our payor contracts; provides expertise in payment and contractual allowances to ensure accuracy among our payor contracts, clinical arrangements and hospital agreements.Monitors reimbursements from third party carriers as defined in contracts through federal and state requirements; ensures appropriate reimbursement among various specialty billing areas and complex claims.Analyzes, develops and prepares reports for leadership utilized for operations and identifying trends; utilizes knowledge of all aspects of the revenue cycle to make sound decisions as it relates to the remediation of claims.Participates in regular meetings with payor representatives, clinical departments or hospital facilities; studies data, identifies discrepancy patterns and presents solutions; analyzes clinical or payor data to make informed decisions on the remediation of patient accounts.Provides informal guidance, support and training to team members to aid in achieving revenue management's operational objectives.

Minimum Requirements

Education

High School Diploma or GED

Experience

2-5 yearsBenefits and Legal Statement

BJC Total Rewards

At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

  • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
  • Disability insurance* paid for by BJC
  • Annual 4% BJC Automatic Retirement Contribution
  • 401(k) plan with BJC match
  • Tuition Assistance available on first day
  • BJC Institute for Learning and Development
  • Health Care and Dependent Care Flexible Spending Accounts
  • Paid Time Off benefit combines vacation, sick days, holidays and personal time
  • Adoption assistance

To learn more, go to our Benefits Summary.

*Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

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