Account Analyst - Charlotte, United States - OnTarget

Description

Job Description

OnTarget is looking to add an Account Analyst to our growing team If you're looking for a role at an organization that truly makes a difference in the lives of those they serve, this is a great opportunity for you

Company Background and Culture:

Aym Technologies, d.b.a. OnTarget is a unique, fast-growing company serving the behavioral health industry through our software platform, OnTarget. At OnTarget we are about connecting families by providing tools and services people need to improve their lives and the lives of others. We know that most people are "called" to the service of providing care to the special needs' community. Usually, that work starts through the personal experience of having a child or family member with special needs. It becomes one's life; one's very identity. In our case, in service to this community we saw what a positive impact we can make and how those results can truly impact the lives of others in a positive way. It has caused us to fall in love with what we do. It has become our life; our identity and we couldn't be prouder. Not only has this journey cemented for us the fact that we have indeed found our "why", but it defines our culture, who we are and resulted in a set of core values that have become our rules to live by. We have created a family. A family that is focused on empowering people to reach their potential.

JOB DETAILS

The company's application is a financial, clinical, and resource management application directed at the Behavioral Healthcare Provider industry. The Account Analyst will be responsible for various duties related to authorizations, billing claims, posting payments, and collecting accounts receivable. Our team's goal is to reduce the organization's accounts receivable through the OnTarget accounting system and provide excellent customer service to our clients and internal staff.

JOB DESCRIPTION

• Create batch billing from time records and create all invoices for the clients as needed.
• Submit and ensure all client's electronic billing is processed according to payer timely filing guidelines as needed.
• Review and confirm all EDI reports are accepted by the payers with no rejections when needed.
• Triage and work all EDI rejections as needed.
• Confirm all provider numbers, NPI numbers and general billing information is configured in the client's database.
• Submit documentation to state offices (DSS) for deductible clients as needed.
• Process and submit paper billing for private pay and deductible clients.
• Collect all money due from payers, families, and government entities per the mandatory process.
• Resolve all claim denials per the mandatory process.
• Contact payer by phone, email, fax, or support ticket to resolve denials for client.
• Review accounts receivable to identify posting or billing issues and resolve these issues.
• Post electronic and manual payments to accounts within mandatory process.
• Provide A+ customer service to the Client and Finance Department of client.
• Retrieve and enter authorizations in EHR, following guidelines in mandatory process (alternate).
• Alternate contact for authorization department requests from clinical team.
• Triage and resolve issues, edit, and maintain authorizations (alternate).
• Maintain all service codes, billing configurations and rates per SOP (alternate).
• Run appropriate reports per the mandatory process to track on hold billing due to unapproved or dummy authorizations (alternate).
• Liaison between clients, payers, and authorization department (alternate).
• Execute all other job duties per the mandatory process.

CHARACTERISTICS

Keeping on Point

• Can quickly separate the mission-critical from the nice to dos and the trivials; quickly senses what's the next most useful thing to work on; focuses on the critical few tasks that really add value and puts aside or delays the rest.

Getting Organized

• Is well organized, resourceful, and planful; effective and efficient at marshalling multiple resources to get things done; lays out tasks in sufficient detail to mark the trail; is able to get things done with less and in less time; can work on multiple tasks at once without losing track; foresees and plans around obstacles.

Focusing on the Bottom Line

• Attacks everything with drive and energy with an eye on the bottom line; not afraid to initiate action before all the facts are known; drives to finish everything he/she starts.

Communicating Effectively

• Writes and presents effectively; adjusts to fit the audience and the message; strongly gets a message across.

Relating Skills

• Warm, friendly, and interpersonally agile; easy to approach and talk to; relates well to all kinds of people; makes a pleasant first impression and builds solid relationships.

Acting with Honor and Character

• Is a person of high character; is consistent and acts in line with a clear and visible set of values and beliefs; deals and talks straight; walks his/her talk; is direct and truthful but at the same time can keep confidences.

EDUCATION

An associate or bachelor's Degree in a healthcare occupation preferred, but extensive hands-on experience will be considered.

EXPERIENCE

Minimum one year's experience in claims handling, healthcare related billing, accounts receivable, aging reports, posting payments. Supervisory experience a plus. Experience with 837 and 835 file processing is a plus, but not required. Experience with NC MCOs is a plus, but not required.

SKILLS

• Excellent customer service skills.
• Ability to work independently. Attention to large amounts of detail and a high level of accuracy.
• Prioritize work load and maintain an organized system for processes.
• Knowledge of medical terminology preferred.
• Excellent written and verbal communication, analytical, interpersonal and organizational skills.
• Proficient uses of personal computers as well as Microsoft spreadsheet and word processing applications.

WORK ENVIRONMENT

This job operates in a professional office environment and has the ability to work remotely as well.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

TRAVEL

Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected.

POSITION TYPE/EXPECTED HOURS OF WORK

• This is a full-time position-possibility for remote, hybrid or in office position.
• Normal days and hours of work are Monday through Friday, 8:00 a.m. to 5 p.m.
• Salaried, exempt

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.