Account Analyst II - Denials / Follow Up Team - PFS Revenue Integrity - Sharp Corporate - Day Shift - Full Time - Eligible for $4K New Hire Incentive jobs in United States
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Sharp HealthCare ยท 2 months ago

Account Analyst II - Denials / Follow Up Team - PFS Revenue Integrity - Sharp Corporate - Day Shift - Full Time - Eligible for $4K New Hire Incentive

Sharp HealthCare is a healthcare organization seeking an Account Analyst II to collect and follow up on contract and commercial accounts. The role involves ensuring billing accuracy, maintaining productivity standards, and providing quality customer service to patients and insurance companies.

Health CareNon Profit

Responsibilities

Review account after payment for correct patient balance and apply necessary adjustments prior to patient or secondary carrier billing
Review credit balances 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 Centricity 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
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
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

Qualification

Patient accounts experienceBilling procedures knowledgeICD-10CPT-4 knowledgeTyping speed 50 wpmHealthcare setting experienceOffice procedures knowledgeCommunication skillsTeamwork

Required

H.S. Diploma or Equivalent
2 Years experience with patient accounts, patient access, billing/collections, or related
1 Year experience in a healthcare setting

Preferred

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
Familiarity with regulations governing collection proceedings
Knowledge of ICD-10 and CPT-4 codes, and basic medical terminology
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

Benefits

$4K Sign On Bonus for New Hires that meet the eligibility requirement listed below
$1K Employee Referral Bonus for Internal Sharp Employees that results in a qualified external new hire

Company

Sharp HealthCare

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Sharp HealthCare is a not-for-profit integrated regional health care delivery system based in San Diego, Calif.

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
Parkinson's Foundation
2023-07-25Grant

Leadership Team

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Dan Exley
Vice President of Clinical Systems
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Company data provided by crunchbase