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ANALYST, PATIENT ACCOUNTS

Job Description


Job ID: 1211124
Employment Status: Full-Time
More Information:

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and mid-Missouri regions. BJC serves patients and their families in urban, suburban and rural communities through its 15 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.


Overview


Role Purpose

The Patient Accounts Analyst ensures that all insurance, accounts receivable and billing processes are completed accurately and timely. This includes, but is not limited to cash posting, billing, and the review & reconciliation of individual patient accounts. This position provides support to internal departments on AR matters and works closely with their management team to maintain efficient operations and to proactively identify and resolve issues.


Responsibilities

  • Analyzes payment trends in the Account Receivable and denials to work with various payors and provider representatives to ensure accuracy among our payor contracts; provides expertise in payment and contractual allowances to ensure accuracy among our payor contracts, clinical arrangements and hospital agreements.
  • Monitors reimbursements from third party carriers as defined in contracts through federal and state requirements; ensures appropriate reimbursement among various specialty billing areas and complex claims.
  • Analyzes, develops and prepares reports for leadership utilized for operations and identifying trends; utilizes knowledge of all aspects of the revenue cycle to make sound decisions as it relates to the remediation of claims.
  • Participates in regular meetings with payor representatives, clinical departments or hospital facilities; studies data, identifies discrepancy patterns and presents solutions; analyzes clinical or payor data to make informed decisions on the remediation of patient accounts.
  • Provides informal guidance, support and training to team members to aid in achieving revenue management's operational objectives.

  • Minimum Requirements

     

    Degree

  • High School Diploma or GED
  •  

    Experience

  • 2-5 years

  • Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center


    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

     

    Equal Opportunity Employer