At Home Care Hospice · 3 weeks ago
Accounts Receivable Process Analyst - Hospice
United States
Full-time
Remote
Entry, Mid Level
2+ years expAt Home Care Hospice is part of BrightSpring Health Services, which provides home- and community-based health solutions. The A/R Process Analyst will be responsible for monitoring outstanding accounts, processing revenue adjustments, and maintaining communication with various stakeholders to ensure accurate billing and collections.
Health CareWellness
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
Qualification
Required
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
Responsible use of confidential information
Must be able to read
Must have strong/professional communication skills (email and phone)
Must understand conditions of payment
Must have strong excel skills
Preferred
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
Company
At Home Care Hospice
AT Home Care is owned and operated by caring individuals with over 40 years of Health Care and Clinical expertise, and is the largest independent home health care agency in Virginia.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase