Patient Accounts Analyst

Additional Information About the Role

BJC HealthCare is seeking a Patient Accounts Analyst! This team has o versight of managed care billing denials and rejections.

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations.

Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay.

In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

Preferred Qualifications

• Role Purpose
• The Patient Accounts Analyst ensures that all insurance, accounts receivable and billing processes are completed accurately and timely. This includes, but is not limited to cash posting, billing, and the review & reconciliation of individual patient accounts. This position provides support to internal departments on AR matters and works closely with their management team to maintain efficient operations and to proactively identify and resolve issues.

Responsibilities

• Analyzes payment trends in the Account Receivable and denials to work with various payors and provider representatives to ensure accuracy among our payor contracts; provides expertise in payment and contractual allowances to ensure accuracy among our payor contracts, clinical arrangements and hospital agreements.
• Monitors reimbursements from third party carriers as defined in contracts through federal and state requirements; ensures appropriate reimbursement among various specialty billing areas and complex claims.
• Analyzes, develops and prepares reports for leadership utilized for operations and identifying trends; utilizes knowledge of all aspects of the revenue cycle to make sound decisions as it relates to the remediation of claims.
• Participates in regular meetings with payor representatives, clinical departments or hospital facilities; studies data, identifies discrepancy patterns and presents solutions; analyzes clinical or payor data to make informed decisions on the remediation of patient accounts.
• Provides informal guidance, support and training to team members to aid in achieving revenue management's operational objectives.
• Minimum Requirements
• Education
• High School Diploma or GED
• Experience
• 2-5 years

Responsibilities

• BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
• BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
• BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

Qualifications

• Role Purpose
• The Patient Accounts Analyst ensures that all insurance, accounts receivable and billing processes are completed accurately and timely. This includes, but is not limited to cash posting, billing, and the review & reconciliation of individual patient accounts. This position provides support to internal departments on AR matters and works closely with their management team to maintain efficient operations and to proactively identify and resolve issues.

Responsibilities

• Analyzes payment trends in the Account Receivable and denials to work with various payors and provider representatives to ensure accuracy among our payor contracts; provides expertise in payment and contractual allowances to ensure accuracy among our payor contracts, clinical arrangements and hospital agreements.
• Monitors reimbursements from third party carriers as defined in contracts through federal and state requirements; ensures appropriate reimbursement among various specialty billing areas and complex claims.
• Analyzes, develops and prepares reports for leadership utilized for operations and identifying trends; utilizes knowledge of all aspects of the revenue cycle to make sound decisions as it relates to the remediation of claims.
• Participates in regular meetings with payor representatives, clinical departments or hospital facilities; studies data, identifies discrepancy patterns and presents solutions; analyzes clinical or payor data to make informed decisions on the remediation of patient accounts.
• Provides informal guidance, support and training to team members to aid in achieving revenue management's operational objectives.
• Minimum Requirements
• Education
• High School Diploma or GED
• Experience
• 2-5 years