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
San Diego, CA
Full-time
Onsite
Entry Level
$25.30/hr - $34/hr
2+ years expSharp HealthCare is a healthcare provider that is seeking an Account Analyst II for their Denials / Follow Up Team. The role involves collecting and following up on contract and commercial accounts, ensuring billing accuracy, and participating in the achievement of cash collection goals.
Health CareNon Profit
Responsibilities
Billing Accuracy 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
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
Qualification
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
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
Preferred
Minimum two (2) years' revenue experience utilizing EPIC
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
Sharp HealthCare is a not-for-profit integrated regional health care delivery system based in San Diego, Calif.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Leadership Team
Dan Exley
Vice President of Clinical Systems
Recent News
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2026-01-07
2025-12-27
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