01Responsibilities
The Account Analyst specific responsibilities include but are not limited to: Actively participates in special projects or deliverables assigned by management to analyze project inventory to identify trends and provide suggested performance improvement measures and resolution steps; Completes consistent Quality Assurance to ensure accuracy and proficiency in account resolution and remediationIdentifies systemic issues impeding account resolution and recommends solutions for change;Suggests performance improvement measures and evaluates their effectiveness against predetermined objectives;Exemplifies extensive knowledge of the hospital revenue cycle with specialization in hospital billing, follow-up, and the account resolution process to include, but not limited to: claims submission, acceptance, and adjudication, transaction reviews, adjustment posting, identification of patient responsibility, etc.;Possesses considerable leadership skills, fostering an atmosphere of trust; seeks diverse views to encourage improvement and innovation;Possesses ability to professionally communicate (in all forms) with payer and client resources such as: on-site visits, website, e-mail, telephone, customer service departments, etc.; and, Possesses a cooperative and positive attitude toward clients, management and co-workers by responding politely and professionally and being a valued team player.Required Knowledge and Skills: Drive profitability and margin through teamwork and collaboration; contributes to team success by establishing positive working environment;Focus on value creation and enhancement through process improvement and issues based problem solving;Inventory management: conducts accurate research in an organized manner, questions basic inconsistencies in information reviewed, and raises to appropriate level;Demonstrates an awareness of workloads; offers to help team members and/or team management; takes on additional tasks when appropriate;Proactively seeks instruction, feedback, and coaching to improve performance; shows evidence of incorporating feedback into actions; and, Assists new hires or less-experienced staff by answering questions and providing direction on how to complete assignments.US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Denials Management (technical and clinical) US Healthcare Underpayment/Payment Variance Management Desired Knowledge / Skills:Issue resolution & remediationProject inventory AnalysisInventory Resolutions Epic Resolute, HB and PB Patient Accounting Cerner RevElate Patient Accounting Meditech Patient AccountingEducation (if blank, degree and/or field of study not specified)Degrees/Field of Study required:Degrees/Field of Study preferred:Certifications (if blank, certifications not specified)Required .
