Account Analyst II- Spectrum - Full Time - Day Shift

Sharp Healthplan San Diego , CA 92140

Posted 1 week ago

Hours:

Shift Start Time:

Variable

Shift End Time:

Variable

AWS Hours Requirement:

Additional Shift Information:

7am

  • 9am

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum

  • Midpoint

  • Maximum):

$23.500 - $28.081 - $32.662

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

What You Will Do

To collect and follow up contract and commercial accounts.

Required Qualifications

  • 2 Years experience with patient accounts, patient access, billing/collections, or related.
  • 1 Year experience in a health care setting.

Preferred Qualifications

  • H.S. Diploma or Equivalent

Essential Functions

  • Account Monitoring

Monitor accounts within assigned rep work list via use of delinquency reports, team trend report, monthly aging and special reports.

  • Billing Accuracy

Review account after payment for correct patient balance and apply necessary adjustments prior to patient or secondary carrier billing.

Review credit balances and reverse contractual adjustments when appropriate, and bill patient within 5 days of the remit trigger date.

Update statement status), plan information, financial class and standard message accurately.

Clearly document what patient balance consists of.

  • Cash Collection

Participate in the achievement of cash collection goal through timely follow-up activity.

  • Collections

Commence direct follow-up action on unpaid accounts according to time frames indicated in the Guidelines for Account Analysts' Work Lists.

  • Complete all Special Projects

Complete all special projects via assigned ATBs and maintain productivity standards within departmental guidelines.

Knowledge, Skills, and Abilities

  • Knowledge of benefits, covered services, and billing procedures of all Government and non-Government insurance programs.

  • Ability to determine prime, secondary, and third party responsibility among insurance companies.

  • Familiarity with regulations governing collection proceedings.

  • Knowledge of ICD-9 and CPT-4 codes, and basic medical terminology.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove

Account Analyst II- Spectrum - Full Time - Day Shift

Sharp Healthplan