Account Analyst II- Spectrum - San Diego, United States - Sharp HealthCare

Sharp HealthCare San Diego, United States

1 month ago

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Full time

Description

Hours

:

Shift Start Time:
Variable

Shift End Time:
Variable

AWS Hours Requirement:
Additional Shift Information:7am -9am

Weekend Requirements:
No Weekends

On-Call Required:
No

Hourly Pay Range (Minimum - Midpoint - Maximum):
$ $ $31.106

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.

The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

What You Will DoTo collect and follow up contract and commercial accounts.

Required Qualifications2 Years experience with patient accounts, patient access, billing/collections, or related.1 Year experience in a health care setting.

Preferred QualificationsH.S. Diploma or Equivalent

Essential FunctionsAccount MonitoringMonitor accounts within assigned rep work list via use of delinquency reports, team trend report, monthly aging and special reports.

Billing AccuracyReview 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), plan information, financial class and standard message accurately.
Clearly document what patient balance consists of.
Cash CollectionParticipate in the achievement of cash collection goal through timely follow-up activity.

CollectionsCommence direct follow-up action on unpaid accounts according to time frames indicated in the Guidelines for Account Analysts' Work Lists.

Complete all Special ProjectsComplete all special projects via assigned ATBs and maintain productivity standards within departmental guidelines.

Knowledge, Skills, and AbilitiesKnowledge 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-9 and CPT-4 codes, and basic medical terminology.
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

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