Job Information
Sharp HealthCare Account Analyst II- Spectrum - Full Time - Day Shift in San Diego, California
Facility: Corporate Offices
City San Diego
Department
Job Status
Regular
Shift
Day
FTE
1
Shift Start Time
Shift End Time
H.S. Diploma or Equivalent
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):
$21.000 - $25.922 - $31.106
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 MonitoringMonitor accounts within assigned rep work list via use of delinquency reports, team trend report, monthly aging and special reports.
Billing AccuracyReview 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 CollectionParticipate in the achievement of cash collection goal through timely follow-up activity.
CollectionsCommence direct follow-up action on unpaid accounts according to time frames indicated in the Guidelines for Account Analysts' Work Lists.
Complete all Special ProjectsComplete 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