Patient Accounting Financial Analyst

Northwestern Medicine group; Chicago (IL); Sur place; USD 28 000 - 41 000; Plein temps

Résumé du poste

Northwestern Medicine is seeking a Financial Assessor Patient Accounting to join the team in Chicago. The role requires ensuring timely resolution of claim edits, adherence to productivity standards, and effective communication with third-party payers.

You will support AR operations across Medicare, Medicaid, and other plans while upholding HIPAA and compliance guidelines. You will follow guidelines, participate in system testing, and contribute to process improvements.

Qualifications

• One year related work experience or college degree.
• Ability to perform mathematical calculations.
• Basic knowledge of medical terminology and billing practices.
• Extensive experience and knowledge of PC applications, including Microsoft Office and Excel.
• Learn quickly and meet continuous timelines.
• Exhibit behaviors consistent with principles of excellent service.

Responsabilités

• Consistently meet the current productivity and quality standards in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims.
• Consistently meet or exceed productivity standards, targets, error ratios, and reporting requirements assigned by the Patient Accounting Lead Financial Assessor and Operations Coordinator.
• Timely follow-up and collection of third party payer receivables. Denials and Appeals follow-up including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution.
• Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.).
• Support the operations related to optimum third party accounts receivables (i.e. Managed Care, Commercial, Medicare, Medicaid, Replacement plans, Workers Compensations, Corporate Accounts, Research, and Specialty AR Accounts).
• Perform daily, systematic reviews of work lists to ensure all accounts already to be worked are completed.
• Utilize Government, Commercial, and regulatory guidelines for collection of outstanding accounts. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
• Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Provide individual contribution to the overall team effort of achieving the department accounts receivable goals.
• Identify opportunities for customer, system and process improvement and submit to management.
• Follow the NMHC general Policy and Procedures, the Departmental Policy and Procedures, and any Emergency Preparedness Procedures. Follow Joint Commission and outside regulatory agencies mandated rules and procedures.
• Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor.
• Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor.
• Utilize assigned computer hardware and report hardware problems to the appropriate supervisor.
• Participate in the testing for assigned software applications, including verification of field integrity.
• Assist the Patient Accounting Operational Coordinator and Patient Accounting Team Lead Financial Assessor with special projects and other duties as assigned, as necessary.
• Attend training and seminars as assigned and approved by the Patient Accounting Operations Coordinator.

Connaissances

Mathematical calculations

Medical terminology

Excel

Microsoft Office

Formation

One year related work experience or college degree

Two or more years’ college or college degree

Two (2) years progressive work experience in a hospital/ physician billing or SBO environment

Outils

Epic Systems

Description du poste

Northwestern Medicine is seeking a Financial Assessor Patient Accounting to join the team in Chicago. The role requires ensuring timely resolution of claim edits, adherence to productivity standards, and effective communication with third-party payers.

You will support AR operations across Medicare, Medicaid, and other plans while upholding HIPAA and compliance guidelines. You will follow guidelines, participate in system testing, and contribute to process improvements.