Identify trends that will improve the overall AR by completing analysis of charge validation and denials resolution.
Perform a variety of patient accounting functions including insurance and self-pay billing, remit analysis and cash posting, accounts receivable management, and claims follow-up.
Ensure proper charge capture, billing, and adjudication of claims in accordance with federal, state and private billing guidelines.
Monitor Discharged Not Final Billed (DNFB) to determine necessary actions required to minimize the volume and value of accounts being held.
Analyze and escalate themes for payer relation bulk resolution.
Obtain and compare data from multiple sources and review for discrepancies using various applications.
Support the Patient Financial Services department with performing complex process and system analysis.
Provide guidance, communicate, and serve as subject matter expert for assigned service line related to the billing and collections process.
Assist with special projects as assigned by Revenue Cycle Leaders.

Bachelor’s degree or equivalent years of relevant experience in hospital or physician billing office.
Two years of experience in hospital or physician billing office – required.
Knowledge of Hospital/clinic billing and collections.
Payor remittances and knowledge of CPT’s, HCPCS, and Revenue Codes.
Major insurance companies' billing policies to ensure compliance.
Reconciling and balancing of payments received against account receivables.
Medical terminology.
Skills in Critical thinking skills (analyzing, problem-solving, troubleshooting)
Organizational skills
Oral and written communication skills
Ability to Collaborate within cross-functional teams.

Patient Financial Services Analyst

Key skills