SouthEast Alaska Regional Health Consortium (SEARHC)

Role Description The purpose of this position is to identify trends that will improve the overall AR by completing analysis of charge validation and denials resolution. The Patient Financial Services Analyst will also perform a variety of patient accounting functions including: - Insurance and self-pay billing - Remit analysis and cash posting - Accounts receivable management - Claims follow-up Key Essential Functions and Accountabilities of the Job: - Identifies, analyzes, and reconciles billing errors or omissions. - Ensures proper charge capture, billing, and adjudication of claims in accordance with federal, state and private billing guidelines. - Monitors Discharged Not Final Billed (DNFB) to determine necessary actions required to minimize the volume and value of accounts being held. - Responsible for analyzing and escalating themes for payer relation bulk resolution. - Obtains and compares data from multiple sources and reviews for discrepancies using various applications. - Supports the Patient Financial Services department with performing complex process and system analysis. - Provides guidance, communicates, and serves as subject matter expert for assigned service line related to the billing and collections process. - Assists with special projects as assigned by Revenue Cycle Leaders. - Other duties as assigned. Qualifications - Bachelor’s degree or equivalent years of relevant experience in hospital or physician billing office. Requirements - Two years of experience in hospital or physician billing office – required. - Knowledge of hospital/clinic billing and collections. - Knowledge of payor remittances and CPT’s, HCPCS, and Revenue Codes. - Familiarity with major insurance companies' billing policies to ensure compliance. - Experience in reconciling and balancing payments received against account receivables. - Understanding of medical terminology. - Critical thinking skills (analyzing, problem-solving, troubleshooting). - Organizational skills. - Oral and written communication skills. - Ability to collaborate within cross-functional teams. - Ability to complete data entry for a lengthy amount of time. - Ability to work on different projects simultaneously, in a fast-paced setting with overlapping commitments and deadlines. Benefits - Generous benefits including retirement. - Paid time off. - Paid parental leave. - Health insurance. - Dental and vision benefits. - Life insurance. - Long and short-term disability.

• Identifies, analyzes, and reconciles billing errors or omissions. • Ensures proper charge capture, billing, and adjudication of claims in accordance with federal, state and private billing guidelines. • Monitors Discharged Not Final Billed (DNFB) to determine necessary actions required to minimize the volume and value of accounts being held. • Responsible for analyzing and escalating themes for payer relation bulk resolution. • Obtains and compares data from multiple sources and reviews for discrepancies using various applications. • Supports the Patient Financial Services department with performing complex process and system analysis. • Provides guidance, communicates, and serves as subject matter expert for assigned service line related to the billing and collections process. • Assists with special projects as assigned by Revenue Cycle Leaders. • Other duties as assigned.

Pay Range: Pay Range:$31.83 - $44.56 Responsible for improving the charge capture, reimbursement, and quality of the revenue cycle through the support and management of revenue cycle applications; process automation, Charge Description Master, Claims, analysis, reporting, clinical and departmental integration, and performance of compliance, contract payment, and denials auditing. SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more. Key Essential Functions and Accountabilities of the Job - Optimization and troubleshooting of revenue cycle applications - Collaboration with clinical, operational, supporting departments, applicable stakeholders, for development of integrated design solutions - Analysis of available data to support Revenue Cycle team initiatives in identification, definition, resolution planning, and implementation for system & user deviations, inconsistencies, and process failures - Serves as an internal resource on a combination of the topics of registration, authorizations, coding, CDI, CDM management, claims, edits, billing compliance, denials, remittance processing, and/or reporting & analytics - Workflow analysis - Payer contract analysis and ensuring payments consistent with negotiated contracts - Identification of root causes of issues driving controllable denials, partnering with finance leadership to address implicated operational issues, workflow issues, and training gaps - Performs quality assurance and validation tasks - Provides education and guidance to patient revenue generating departments/providers to ensure appropriate charge capture Required Certifications: If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!