Patient Account Analyst

Patient Account Analyst

Position Summary

Under the direction of the CFO, this position is responsible for functions related to the revenue cycle process evaluation, and financial reporting and analysis. Trouble-shoots inefficiencies and issues, researches and makes recommendations for improvements, manages projects and helps to implement change. This position requires excellent communication skills, computer literacy, and the ability to prioritize tasks and work independently. The Patient Account Analyst must be able to work in a fast paced environment and must be able to adapt to a change in workload with a positive attitude.

Essential Duties/Responsibilities

To perform this job successfully, an individual must be capable of making decisions that are required to carry out the mission of the Patient Account Department. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Create and maintain EMR service master.
• Create and maintain EMR electronic claims systems through our clearinghouses and direct format.
• Manage all consumer account collections and payment arrangements.
• Maintains documentation on all collection activities, and recommends accounts for charge off.
• Define new methods and services to enhance the quality of internal processes in order to reduce departmental errors.
• Review and interpret operational data to assess need for procedural revisions and enhancements; participate in the design and implementation of specific systems to enhance revenue and operating efficiency.
• Analyze trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
• Maintain a working knowledge of all health information regulations such as HIPAA.
• Understand and remain updated with current claims coding, regulation and compliance requirements.
• Regularly provide CFO with revenue cycle status including reports, metrics, and presentations. Develop, monitor, and assess business metrics in order to refine processes and improve efficiencies. Establish internal goals and identify internal benchmarks.
• Identify revenue cycle problems and implement reliable solutions for improvement; continually identifying opportunities to automate processes and maximize collections.
• Meet regularly with supervisor to exchange pertinent information and receive supervision.
• Participate in various agency meetings and activities as required.
• Participate in training activities to improve job knowledge and skills as assigned or approved.
• Monitor all bulletins and updates from Medicare, Medicaid and other third party payers. Notify appropriate staff of changes or additions. Coordinate efforts with Clinical Directors to provide updates of policies and procedures to all necessary staff.
• Prioritize tasks to meet all deadlines.
• Performs other duties as assigned.

Minimum Qualifications/Responsibilities

• Bachelor's degree preferred in a Business related field or 10+ years relevant experience.
• Three years of experience in Indiana Medicaid claims processing and submission, receivables analysis, and data entry and retrieval.
• Excellent computer skills, proficiency in Microsoft Office Product Suite.
• Must have analytical and critical thinking skills and must be able to report data trends in an organized manner.
• Must possess the ability to understand complex information and communicate effectively with stakeholders.
• Basic skills: office/clerical, math, written and oral communications.
• Ability to use basic office equipment: i.e., copy / fax machine, calculator, etc.
• Knowledge of and / or willingness to learn principles of Total Quality Management (TQM).
• Excellent customer service skills.