Patient Account Analyst – Financial Services

Powell Valley Healthcare; Powell (WY); On-site; USD 60,000 - 86,000; Full time

Benefits offered by this job

Health insurance

PTO 20 days

Tuition reimbursement

Extended Illness Bank

Holidays

HRA – Flex spending

Job summary

Powell Valley Healthcare in Powell, Wyoming is seeking a Revenue Cycle Analyst to improve patient financial services. This role analyzes revenue cycle processes, tracks trends, produces reports, and helps implement efficient billing and collections.

You will partner with PFS and HRG, generate actionable metrics, and support managers with timely, accurate financial information.

Qualifications

• 5-7 years’ experience in patient financial services position.
• Knowledge of Windows, Excel, Word, and healthcare system applications.

Responsibilities

• Produce and validate Denial reports for quick process improvements.
• Participate in Process Improvement within PFS and registration.
• Provide reports related to department productivity and workload.
• Oversee Care Center PFS billing and follow up on collections.
• Analyze payers and pre-authorization processes related to billing and collections.
• Track DSO, Bad Debt, Financial Assistance, Payor mix metrics.

Skills

Accounting

Financial analysis

Report generation

Education

HS Diploma or GED

Tools

Microsoft Excel

Healthcare billing systems

Job description

At Powell Valley Healthcare, providing quality healthcare to our community is our top priority. We are located in the heart of Powell, Wyoming; just 25 miles outside of Cody. We believe in creating positive and safe environments for both our patients and our staff. Being part of our organization means becoming a cornerstone in the patient experience and their care.

Here at PVHC, we offer a wide array of benefits in a way that allows you to choose options and build a package that works best for you. Some of the benefits we offer include:

• Health, dental and vision insurance
• Life insurance
• Long term disability coverage
• PTO – New employees accrue the equivalent of up to twenty days of PTO withing their first calendar year
• EIB (Extended Illness Bank) – Our version of accrued sick leave
• Nine paid holidays which includes two personal holidays
• Tuition Savings Plan
• Opportunities to cash out PTO for personal use, student loan payments, and in-house medical bills
• Tuition reimbursement – up to $5,000 per year
• Fun to be Fit program and Club Dauntless Membership Discount
• HRA – Flex spending accounts

POSITION SUMMARY:

Current Opening: One Full-Time position (40 hours per week; 8:00am – 5:00pm).

Analyzing revenue cycle processes and procedures. This includes tracking trends, producing reports, and validating reports to create or improve processes. Development of reporting to make informed results-oriented improvement to Patient Financial Services.

ESSENTIAL FUNCTIONS:

• Produce and validate Denial reports. To include in depth analysis and reporting to quickly respond to needed process improvement to maximize revenue
• Participate in Process Improvement within PFS and registration to facilitate communication of current processes and implement changes if necessary.
• Provide reports related to department productivity of staff in PFS or HRG as requested by the PFS Manager.
• Responsible for Care Center PFS billing and oversight of follow up on collections. Work closely with Care Center patient Liaison to ensure accurate billing and prompt collection of all accounts within PCC. Assist with the oversight of Resident Trust accounts.
• Analyze third party payers to ensure accurate reimbursement. Understand our payor contracts and pre-authorization process as related to billing and collections.
• Track metrics for PFS related to Days in A/R, Bad Debt, Financial Assistance, Payor mix.
• Validate and report credit balances for governmental payor as required by regulation.
• Creation, Implementation and Validation of reports related to A/R Collections, Late Charges, Payment Adjustments, and others required as requested by PFS Director
• Assist Manager with reporting and issue resolution to prevent delayed payments.
• Keep current on regulatory requirements and best practices and provide information to the PFS Manager, assist with implementation as requested.
• Provide account analysis on accounts as requested by PFS Manager, posting of payments, adjustments, and charges.
• Work effectively with other departments on problem resolution as related to revenue and reimbursement as requested by PFS Manager.
• Work with outside vendors such as HRG, Care Payment, Change Healthcare and Billings Clinic to ensure efficient processes within PFS.
• Assist with billing or collections in the event of temporary staff shortage.
• Develop milestones and goals for professional and personal and review quarterly with PFS Manager.
• Perform other duties as assigned.

KNOWLEDGE, EDUCATION AND EXPERIENCE REQUIRED:

• High school diploma or General education degree (GED) required.
• 5-7 years’ experience in patient financial services position.
• Demonstrated knowledge, experience and skills in using business software applications: Windows environment on PC, Microsoft Excel, Word Processing, Small Business Applications, Healthcare System Applications – primary focus on accounting and financial functions minimum two years’ experience required four years’ experience preferred.

SKILLS AND ABILITIES REQUIRED:

• Strong working knowledge and skills in essential accounting functions
• Skills in operation of typical office equipment such as P.C’s, printers, terminals, calculator, FAX, Copiers.
• Knowledge and experience in using, Windows Excel and Word as well as small business application, and Health Care systems Applications – primary focus on accounting and financial functions.
• Read, write and comprehend instructions, memos, and correspondence.
• Ability to apply basic mathematical concepts such as adding, subtraction, multiplication, and division in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, percent and other mathematical outcomes, and to draw and interpret bar graphs.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

PHYSICAL DEMANDS/REQUIREMENTS:

• Regularly lift or move objects weighing 10 lbs., frequently lift and/or move up to 25 lbs.
• Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and depth perception.
• Reaching, handling, feeling, talking, hearing, stooping, bending, crouching, walking, standing, and working with equipment.
• The employee is also subject to exposure to blood and body fluids, proximity to moving mechanical parts, electrical shock, exposure to burns and radiant energy, exposure to explosives, exposure to toxic chemicals and biological agents.