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

Job Title

This position involves collecting and following up on contract and commercial accounts.

Required Qualifications

High School Diploma or Equivalent

2 years experience with patient accounts, patient access, billing / collections, or related.

1 year experience in a healthcare setting.

Essential Functions

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.

Knowledge, Skills, and Abilities

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.

Bonus Incentives :

$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

Sign On Eligibility Requirement : Minimum two (2) years' revenue experience utilizing EPIC

The following are not eligibility for hiring incentives :

Current Sharp employees

Rehires / reinstates that are rejoining the organization less than 12 months from last date of employment with Sharp HealthCare

To remain eligible for your sign on incentive, the following criteria must be met :

Must remain in original hired FTE status and shift (if specified in offer letter)

Must remain in original department / specialty

Must remain in original Job Title

Transfers to a non-bonus eligible department or position may result in forfeiting remaining incentive bonus

Employee Referral Incentive Eligibility : Referral must list the name of the Sharp employee that referred them on the job application. External referrals only. If referring a former Sharp employee - must be more than 12 months since last date of employment with Sharp HealthCare at the time of referral.

Sharp HealthCare is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.