Job description

Americare's quality of service begins with the superior qualifications of each member of our staff. The Americare Companies provide myriad healthcare services including home health in New York State, and rehabilitation, pharmacy, managed care services, and international nurse recruitment, for healthcare facilities throughout the United States.

Position : Patient Account Analyst

What we offer :

• Medical, Dental and Vision Insurance
• Robust time off including holidays, vacation, personal, sick and your birthday off
• 401K plan with company match
• Supportive management and opportunity for advancement

Qualifications :

• 4+ years in Medical Billing and Collections
• B.S in Business or Finance from an accredited college or university.
• Proficiency in health insurance billing, collections, and eligibility as it pertains to commercial, managed care, government, and self-pay reimbursement concepts and overall operational impact.
• Must be proficient in Microsoft Office (Excel, Word, Outlook)
• Advanced skills in using excel and BI data applications to maneuver through large volumes of data.
• Must be a motivated individual with a positive and exceptional work ethic.
• Strong verbal and written communication skills.
• Ability to work independently and follow-through and handle multiple tasks simultaneously.
• Strong knowledge of electronic billing systems for front end and back-end functions and the willingness to learn new systems, applications, and programs.
• Demonstrated advanced skills in A/R management, problem assessment, and resolution, and collaborative problem-solving in complex, interdisciplinary settings.
• Excellent analytical skills: attention to detail, critical thinking ability, decision making, and researching skills in order to analyze a question or problem and reach a solution.
• Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations
• Must be fully vaccinated against COVID 19

Responsibilities:

• Collect delinquent outstanding balances as quickly as possible by applying collection best practices for Managed Medicaid, Medicaid, Self-Pay, and other reimbursement categories.
• Reviews and analyzes “Explanation of Benefits” (EOBs), ERA, payer correspondences, payer portals and AR reports to identify denials that can be appealed.
• Perform denials analysis to reduce controllable rejections. Perform deep-dive analysis to find solutions that can benefit multiple specialties.
• Stay abreast of group payer contracts, payer policies, payer plans, and member benefits. Conduct rate audits to ensure that rate tables are accurate.
• Coordinate and manage monthly calls with third party insurance.
• Follow up on all open account receivable items resulting form the payer calls, ensuring the tasks required to resolve the issues are completed
• Prepares monthly reports, analysis, and formal presentations for departmental/Inter-departmental management and central administration leadership.
• Delivers presentations as needed and provides recommendations for solutions in meetings with departmental management and third-party insurances
• Collaborates closely with peers to develop, validate, and maintain meaningful report sets.
• Document all actions taken on accounts in central documentation system and worklists.
• Develop new report templates for ad-hoc and or standard monthly reports to assist with monitoring of Patient Accounts Metrics.
• Provides a detailed assessment of revenue cycle processes with a focus on process improvement and best practices. Monitor and analyze to compare with industry benchmarks.
• Applies knowledge of coding including use of billable CPTs, diagnosis codes, modifiers, place of service codes, and source codes to perform an in-depth analysis of root cause issues

Join an industry Leader !

www.americareny.com

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Job Type: Full-time

Pay: $75,000.00 - $100,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
All employees are fully vaccinated against COVID 19

Ability to commute/relocate:

• Brooklyn, NY 11234: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Are you full vaccinated against COVID 19 ?

Education:

• Bachelor's (Required)

Experience:

• Medical Billing: 4 years (Preferred)

Work Location: One location

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