Account Billing Analyst Fulltime Days

Baylor Scott & White Medical Center - Sunnyvale is an acute care hospital serving the communities in and around Sunnyvale, Texas. We strive to make the lives of our patients and their families better at every interaction. Our Team Members live out this passion in their daily roles as we support their career and personal goals.

 

We are located just minutes east of Dallas and south of Garland / Rowlett on Hwy 80 at Collins Road in Sunnyvale. Many team members live in Forney, Mesquite, Garland, Balch Springs, and Rockwall areas with a short commute.

 

Our work environment includes:

• Modern Office Setting
• On-Site Cafe' and Coffee Bar (Payroll Deduction available)
• Collaborative Teams
• Team Member engagement opportunities
• Competitive pay
• Benefits provided based on your work assignment (Full-time, Part-time, or PRN)

 

Baylor Scott & White Medical Center - Sunnyvale is seeking a Denials Analyst to perform the daily functions of denial resolution which primarily includes researching accounts, analyzing EOBs, and interacting with insurance companies for resolution of denied balances.   

 

What your day will look like:

• Must be a hands-on problem solver and effective communicator to support the goals of the Hospital Business Office.
• Responsible for identifying the root cause of low or non-payments to achieve increased cash and a reduction in payer denials and overall bad debt accounts.
• Provide patient data to payers for resolution of denials due to medical necessity. 
• Assist in identifying potential errors created as a result of incorrect claims processing, wrong eligibility records, late or missing provider submissions, and address payers’ questions to improve Hospital’s overall billing and reimbursement.
• Perform research in Cerner and review EOBs for accounts identified as denied, underpayment, or “No-Status Available”
• Communicate with patients for coordination of benefits as needed to get claims processed
• Communicate with payers for re-submission of patient account data and coordinate with CSO as needed
• Communicate with patients, physician staff, and insurance companies
• Perform root cause analysis on denials and work with appropriate staff to eliminate core problems causing denials.

 

Success Factors:

• Associates or Bachelor's Degree preferred but not required
• Minimum 3-5 years of experience in working Denied A/R and underpaid medical accounts
• Solid understanding of Revenue Cycle functions and Business Office operations strongly preferred
• Ability to communicate in English; both verbally and in writing.
• Additional languages preferred.
• Competent utilizing Microsoft Office Excel and Word.
• Experience with Cerner software
• Strong leadership, communication and organizational skills required 

Who We Are
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists an