Patient Account Analyst II - Remote

Location

Remote - Ohio

CBO Revenue Cycle

40

Full time

Days (United States of America)

• Keep Pro Medica’s mission, “To improve your health and well-being”, as the foundation of employment.
• Demonstrate personally and foster a work environment that includes Pro Medica Values;
  Compassion, Innovation, Teamwork, and Excellence.
• Using various Patient Accounting and Claim Scrubbing software applications, such as Epic and Quadax, perform a variety of hospital billing and claim follow up activities to achieve maximum reimbursement for all billable services provided by the facility from the appropriate third party payor.
• Contact patients for necessary information pertaining to registration, billing and collection.
• Answer all written correspondence and phone inquiries from insurance companies, internal or external departments, local, state or federal agencies and/or patients/guarantors in a timely manner with professionalism and exceptional customer service.
• Maintain a working knowledge of department billing and follow-up procedures and workflows, including system functionality and program logic as it applies to assistance in procedures and workflows.
• Maintain elevated attention to detail by reviewing all work for completeness and accuracy in compliance with system quality assurance policies. Complete billing and follow-up tasks meeting department QA standards as demonstrated on the monthly Key Performance Indicators (KPI).
• Function as a team member to organize and prioritize responsibilities to complete daily work requirements:
  • Comply with changes in duties and assignments in a positive and cooperative manner.
  • Adjust to peaks in workload.
  • Demonstrate flexibility and adaptability to change.
  • Complete assignments in appropriate time frames.
  • Aid co‑workers to ensure completion of all assigned duties, as necessary.
  • Work in collaboration with team to ensure prioritized daily tasks are completed when team members are absent, both planned and unplanned.
  • Perform duties in a self‑directed manner with minimal supervision or direction.
• Take ownership of identified issues, including internal and external customer service issues. Ensure the matter is resolved in a timely manner if able or elevate as appropriate with continued follow‑up until resolution.
• Provide feedback to leadership staff and/or Quality Assurance (QA) staff on issues that impede timeliness or quality and work with the appropriate personnel to resolve such issues.
• Accountable for meeting individual and team designated KPI goals and deadlines.
• Complete assigned special projects in a timely and efficient manner.
• Actively participate in generating ideas for continuous optimization and automation solutions.
• Keep abreast of in scope third party payor(s)’s billing, reimbursement and medical policies. Review in scope payer’s provider communication distributions, including registering for payer’s List Serve, for relevant updates and notifications. Notify leadership of identified payor updates that apply to Pro Medica’s billing and follow‑up procedures.
• Keep fluent with in scope payer’s provider billing manual.
• Attend mandatory team and departmental meetings both on‑site and virtual.
• Complete all assigned continuing education courses. i.e. HBI, Healthstream. Maintain current knowledge of Microsoft Office Application Suite. Self‑assign training courses as needed. Including but not limited to Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft Teams and Microsoft One Note.
• Perform all other duties as assigned.

• Education: High School Diploma; OR Equivalent. Preferred:
  College Degree.
• Certification: Preferred:
  Certificate in billing and/or coding from an accredited school.
• Years of
  
  Experience:
  
  Preferred:
  One year of healthcare or related experience.
• Skills: Must demonstrate the ability to accurately and independently solve problems by taking a basic skills test and scoring a minimum of 80%.
• License: N/A.
• Additional
  
  Experience:
  
  Must demonstrate creative problem‑solving