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    Account Analyst II - San Diego, United States - Sharp Health Plan

    Sharp Health Plan
    Sharp Health Plan San Diego, United States

    2 weeks ago

    Default job background
    Description
    Hours


    Shift Start Time:
    Variable


    Shift End Time:
    Variable


    Additional Shift Information:
    Start time 7am - 9am


    Weekend Requirements:
    As Needed


    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 Do

    To collect and follow up contract and commercial accounts.

    Required Qualifications


    • H.S. Diploma or Equivalent 2 Years Experience in all areas of billing. 1 Year Accounts management experience in an acute care hospital.
    Essential Functions


    • Account monitoring


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


    • 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), plan information, financial class and standard message accurately.

    Clearly document what patient balance consists of.
    • Cash collection
    Participate in the achievement of cash collection goal through timely follow-up activity.
    • Collections


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


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

    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-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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