Account Analyst II - Revenue Cycle Consumer Center Clinics - Sharp Corporate - Day Shift - Full Time

Sharp; San Diego (CA); On-site; USD 36,000 - 48,000; Full time

Job summary

Sharp HealthCare in San Diego is seeking an Accounts Analyst to collect and follow up contract and commercial accounts, focusing on accurate patient balances and timely billing workflows.

The role requires 2 years of patient accounts experience, 1 year in a health care setting, and familiarity with delinquency reports, cash collection, and revenue cycle processes.

Qualifications

• 2 years of experience with patient accounts, patient access, billing/collections, or related.
• 1 year experience in a health care setting.
• High school diploma or equivalent preferred.

Responsibilities

• Account Monitoring: Monitor accounts within assigned rep work list via delinquency reports and aging analyses.
• Billing Accuracy: Review account after payment for correct patient balance and apply adjustments prior to billing.
• Cash Collection: Participate in the achievement of cash collection goals through timely follow-up activity.
• Collections: Initiate direct follow-up on unpaid accounts per timeframes indicated in guidelines.
• Complete all Special Projects: Complete all special projects and maintain productivity within departmental guidelines.

Skills

Patient accounts

Billing/collections

Healthcare setting experience

Education

High school diploma or equivalent

Job description

Hours

Shift Start Time:

Variable

Shift End Time:

Variable

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Flex hours 5:00 am - 10:00 am start time

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$26.120 - $31.340 - $35.100

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

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

Preferred Qualifications

• H.S. Diploma or Equivalent

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