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

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

Job summary

Sharp HealthCare, a not-for-profit health system based in San Diego, California, is seeking an Accounts Analyst for contract and commercial accounts. The role requires 2 years in patient accounts and 1 year in a health care setting, with preferred HS diploma. Hours: flexible 5:00 am to 10:00 am start; shift Start/End times vary.

On-site position in San Diego. Compensation includes an hourly pay scale of $26.12 to $35.10 per hour, with potential for market-based adjustments.

Qualifications

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

Responsibilities

• Monitor accounts within assigned rep work list using delinquency reports and aging.
• Review patient balances and apply adjustments before billing to patients/insurers.
• Monitor and reverse inappropriate contractual adjustments; bill patient within 5 days of remit date.
• Update statement status, plan information, financial class and standard messages.
• Document patient balance components clearly for audits and reviews.
• Participate in cash collection goals through timely follow-up of accounts.

Skills

Patient accounts

Billing/collections

Healthcare experience

Education

High School Diploma

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 Sharp HealthCare is a not-for-profit health care system based in San Diego, California, with four acute care hospitals, three specialty hospitals, three medical groups and a health plan. We provide medical services in virtually all fields of medicine, including primary care, heart care, cancer, orthopedics, women's health, rehabilitation, robotic surgery and bariatric surgery. Sharp sets the community standard for exceptional care. Sharp Grossmont Hospital and Sharp Memorial Hospital have received prestigious Magnet recognition by the American Nurses Credentialing Center for excellence in nursing practices and quality patient care. At the heart of our organization are more than 18,000 affiliated physicians, nurses, staff and volunteers who are on a journey to make health care better for our patients and their families. It's what we call The Sharp Experience - treating each person with dignity, compassion and respect, and using our clinical excellence and advanced technology to deliver the highest-quality patient care. We are dedicated to transforming the health care experience by making Sharp the best place to work, the best place to practice medicine and the best place to receive care in San Diego.