CONTRACT & DENIALS ANALY - P/A

Aultman Health System; Canton (OH); On-site; USD 42,000 - 62,000; Full time

Job summary

Aultman Health System in Canton, OH seeks an experienced Patient Accounting professional to manage billing, insurance collections, and cash posting within the revenue cycle.

You will document collection activity, ensure timely payment applications, and maintain compliance across government and contract regulations while supporting internal and external customers.

Requires 3–5 years AR experience, strong Microsoft Office skills, and the ability to work independently in a multi-hospital environment.

Qualifications

• High School Diploma or equivalent.
• ,
• 3–5 years of experience in accounts receivable.
• Knowledge of claims review and analysis.
• Administrative support experience with multi-hospital systems.
• Expert knowledge of Microsoft Office; and the ability to learn new programs and systems.
• Accounts Receivable database application knowledge.
• Strong written and oral communication skills.
• Strong analytical skills and attention to detail.
• Self-directed and capable of working without direct supervision.
• Dependable in both production and attendance.
• Professional manner in appearance.

Responsibilities

• Daily/weekly/monthly reporting of Account Receivable.
• Auditing Productivity and Quality.
• Ability to work multiple job duties with Patient Account.
• Training/cross training of staff members.

Skills

Communication skills

Analytical skills

Self-directed

Dependable

Professional appearance

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Patient accounting skills in two or more areas: 1. Billing, 2. Insurance collections, 3. Administrative support, 4. Customer service and 5. Cash posting. Responsibilities involve concentration on cash receivables using computer-based applications to provide accelerated accounts receivable recovery. Focuses on the revenue cycle to optimize revenue, improve cash flow and strengthen our financial position. Performs tasks required to ensure the systematic and timely payment applications and resolution of all accounts in assigned inventory. Documents all collection activity in the patient accounting system. Maintaining compliance with government and contract regulations and working with both internal and external customers.

Department Summary:

Patient Financial Services is responsible for the Revenue Cycle cash, charges, billing and follow up on all active Account Receivable balances. It is our core responsibility to ensure accurate and timely records for the revenue cycle.

Job Qualifications:

• High School Diploma or equivalent
• 3 – 5 years of experience in accounts receivable
• Knowledge of claims review and analysis
• Administrative support experience with multi-hospital systems
• Expert knowledge of Microsoft Office; and the ability to learn new programs and systems.
• Accounts Receivable database application knowledge
• Strong written and oral communication skills
• Strong analytical skills and attention to detail
• Self-directed and capable of working without direct supervision.
• Dependable in both production and attendance
• Professional manner in appearance

Department Specific Qualifications:

• Working knowledge of A/R billing system
• Analytical knowledge and capture of reporting software

Job Skills:

• Microsoft software knowledge
• Detail oriented.
• Adaptability to changing work environment or needs.
• Audit of A/R system
• Reporting of Cash Productivity

Department Specific Job Skills:

• A/R software knowledge
• Multi software application ability and administrative detail
• Duties as assigned by Supervisor

Daily/weekly/monthly reporting of Account Receivable

Auditing Productivity and Quality

Ability to work multiple job duties with Patient Account

Training/cross training of staff members

Working Conditions:

Please list the working conditions in the work environment. Examples are below.

• Work eight hours a day.
• Ability to flex time as needed for appointments.
• On Site mandatory
• Lunch periods and breaks are coordinated with other staff members to maintain adequate coverage.
• Cross training in all areas in the department is required.
• Travel to other facilities as needed

Department Specific Working Conditions:

All qualified applicants will receive consideration for employment without regard torace, color, religion, sex, age, national origin, disability, gender identity, sexual orientation or protected veteran status.

Hazardous Exposure Category: Select Category I, II or III and delete the other categories.

Category III- Includes tasks that involve no exposure to blood, body fluids, or tissues and Category I tasks are not a condition of employment. The normal work routine involves no exposure to blood; body fluids or tissues (although situations can be imagined or hypothesized under which anyone anywhere might encounter potential exposure to body fluids.) Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid or to be potentially exposed in some other way.

Department Specific Responsibilities & Expectations:

Physical Addendum: Please place one “X” in the appropriate box for the requirement.