Patient Accounting Analyst- Onsite

Bronson Methodist Hospital; Schoolcraft Township (MI); On-site; USD 55,000 - 70,000; Full time

Job summary

Bronson Methodist Hospital in Portage, MI is seeking a Patient Accounting Analyst onsite to ensure accurate billing and timely payment processing across multiple payers.

You will work within the revenue cycle, handling CPT/ICD-9 coding knowledge, EPIC systems, and collaboration with payer teams. Strong communication and leadership are essential.

A GED or HS diploma is required; an associate degree is preferred, and five years of medical billing experience is expected.

Qualifications

• High school diploma or GED required.
• Associate's degree in Business or Finance preferred.
• 5 years experience in medical billing and receivables management required.
• Successfully pass EUPA's for all Epic applications within 90 days.

Responsibilities

• Facilitate payment from third party payers and coordinate the payer team Reimbursement Specialists.
• Ensure claims are compliant with payer specifications and regulatory requirements.
• Prepare documentation to maximize reimbursement and analyze CPT-4, ICD-9, UB04 charges for accuracy.
• Assist team manager in directing workflow and mentoring junior staff.

Skills

Medical billing

AR management

Revenue cycle

HIPAA compliance

Communication

Leadership

Education

Associate degree in Business/Finance

GED/High School diploma

Tools

EPIC

STAR

EC2000

UB04

Job description

Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community.

If you're ready for a rewarding new career, join Team Bronson and be part of the experience.

Location Portage-6901 Portage Rd. - Business Office Building

Title Patient Accounting Analyst- Onsite

Performs duties necessary to facilitate payment from third party payers and coordinate the work of the payer team Reimbursement Specialists. This includes correct billing, statusing and collection from third parties, posting third party payments (if applicable), computing correcting reimbursement, processing incoming and outgoing correspondence, and maintaining a working knowledge of current contracts and government regulations for multiple entities. Employees providing direct patient care must demonstrate competencies specific to the population served.

High school diploma or general education degree (GED) required.

Associate's degree in Business or Finance preferred.

5 years experience in medical billing and receivables management required.

Successfully pass EUPA's for all Epic applications associated with position within the first 90 days in the position.

• Excellent oral, written, organization and interpersonal skills.
• Strong computer and general office equipment knowledge required, including relevant computer programs (e.g. Excel).
• Knowledge of medical terminology, ICD-9 and CPT-4 coding, National Billing forms, third-party payers, managed care, reimbursement and regulatory compliance required.
• Ability to type 45 words per minute.
• Critical to this position is understanding the revenue cycle and the importance of evaluation & securing all appropriate financial resources for patients to maximize reimbursement to the health system.
• Ability to maintain a self-directed, mature, disciplined approach to completing work duties.
• Must be able to effectively teach new skills and processes and act as a team motivator, consistently challenging team members to higher levels of performance.
• Must be able to act as a mentor to less experienced members of the team.
• Must be able to quickly analyze communication style based on nature and approach of verbal inquiry.

Work which produces very high levels of mental/visual fatigue, e.g. CRT work between 70 and 90 percent of the time, and work involving extremely close tolerances and considerable hand/eye coordination for sustained periods of time.

The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects.

• Accountable for ensuring claims are compliant with all payer specifications; State, Federal and HIPAA regulations.
• Prepares documentation to maximize reimbursement.
• Analyze assignment of all CPT-4, ICD-9, UB04 and charges for accuracy and to maximize reimbursement.
• Critically analyze and process third party and internal information requests and rejections in an effort to resolve accounts receivable.
• Critically analyze and process documents for resolution of third party liabilities, outstanding credits and un-billed accounts.
• Make all necessary posting, adjustments and refunds to accounts and critique contractual allowances and other arrangements.
• Responsible for complete understanding and application of current contracts and governmental regulations including referrals for legal intervention for multiple entities.
• Proficient in the revenue cycle process via multiple computer systems including but not limited to: STAR, EC2000, EPIC, SSI, Compliance Advisor, Medicare, Blue Cross, GLMI Home Health Billing system, CPR+ Home Infusion Billing system, etc.
• Provides for coverage, answers concerns in the absence of manager in short staff situations
• Assume team leadership independently identifying potential improvement opportunities that could be put into practice in the day-to-day work of each payer team.
• Keeping abreast of changes in payer regulations and trends in the field of billing and collections
• Assisting team manager in directing general work flow of team
• Coordinating and facilitating work of other team members
• Assisting in gathering and summarizing relevant statistics per designated metrics (e.g. A/R dollars, A/R days, claims denied) on a regular basis
• Developing and maintaining detailed knowledge of complex payer regulations and requirements for multiple payers
• Acting as "team expert" with regard to specific regulations and billing/follow up issues
• Responsible for recommending and developing team-specific modifications to all billing systems
• Acting as team educator and trainer, participating in external organizations or training sessions and relate information back to team members.