Prisma Health · 1 day ago

Patient Financial Services Analyst, FT, Days, - Remote

Columbia, SC

Contract

Remote

Mid, Senior Level

5+ years exp

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Responsibilities

Monitors, researches and/or resolves high dollar, high profile, and problem accounts, providing necessary information to various internal revenue cycle departments, clinical and corporate departments, and patients for resolution of account inquiries.

Monitors, reviews and provides analysis of all assigned work queues, dashboards and watch lists, payer communications and analysis, identifying trends and working with other departments to resolve system issues.

Demonstrates superior communication skills necessary for developing and maintaining positive professional relationships with team members, revenue cycle departments, clinical and corporate departments, payers, and industry organizations.

Evaluates payer performance and payment trends to provide management with valuable statistics to facilitate improved payer relations and contracting criteria, identifies payer specific problem trends and works with clinical departments, outcomes management, managed care, reimbursement and PFS to rectify systematic issues.

Facilitates, attends and/or participates in payer assigned meetings for improved payer relations and to identify and resolve payer processing, claims and denial issues. Assures timely communication of all meeting outcomes to appropriate PFS team members.

Attends appropriate meetings and training seminars to assure awareness and understanding of all billing regulations, compliance policies, industry changes, and/or payer reimbursement guidelines. Maintains professional growth and development through seminars, workshops, in-service meetings, current literature and professional affiliations to keep abreast of latest trends in field of expertise.

Recommends and assists in the development of regular training sessions with team members, to ensure highest quality and productivity standards are achievable. Assists in on boarding of new team members as well as providing ongoing support for all FS team members.

Identifies payer specific trends and works with revenue cycle, clinical and corporate departments, managed care and reimbursement teams on resolution.

Maintains strict adherence to department quality measures and timely and accurate completion of assigned responsibilities.

Responsible and accountable for reconciliation and accuracy of vendor invoices, vendor staff set up in EPIC, vendor collection and expense reports.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Revenue CycleAccountingBillingCollectionsCRCA certificationCRCR certificationPayer RelationsClaims ManagementFinancial Analysis

Required

High School diploma or equivalent OR post high school diploma / highest degree earned

5 years - Revenue Cycle, Accounting experience including registration, billing, collections, credits, refunds, customer service, banking, finance, managed care or related area