Systems Accounts Resolution Analyst/Insurance Biller- Full Time 40 Hours

At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice.

Job Summary

In a hospital and/or professional office environment, the Systems Account Resolution Analyst is responsible for billing and patient account reconciliation. This job requires critical thinking skills, organizational skills, account investigation, claim escalation, and overall account resolution of a patients and/or insurance balances. This is accomplished by utilizing insurance web portals, call inquiries, written correspondence, and collaborating with internal departments. This role requires an employee to work in a team environment as well as independently. The System Account Resolution Analyst will contribute to meeting departmental goals as well and organizational goals.

Essential Job Functions and Responsibilities:

• Contacts insurance carriers to facilitate payments, review underpayments and denials. Refer difficult accounts to denials team for further action
• Identifies barriers to efficient departmental operations related to self-pay billing/trends in insurance denial and takes an active role in developing appropriate solutions
• actively works daily work queue and clearing house denials
• Assists the self-pay follow up team in areas such processing financial assistance applications, payment plans through third party vendor, preparing patient refund requests, processing bankruptcy notifications, return mail, etc
• Reviews payer bulletins to stay current on updates.
• Communicates with departments and Coding Vendor to resolve claim issues.
• Respond and takes action related to calls, emails, and faxes related to patient billing in a timely and professional manner
• Uses a patient-centric approach to answer questions and provide information in a professional manner
• Understand all payer regulations to effectively communicate with patients about charges, payments and adjustments on their account
• Investigate patient inquiries/disputes surrounding charging, coding, payments, locations, services, insurance coverage, etc
• Works with individuals when appropriate at various levels of the organization to find resolution on patient disputes
• Updates account information (addresses, insurance, etc.) and rebills as appropriate to initiate the next steps in the billing and collection cycle

Qualifications

• High School Diploma and at least three (3) years of revenue cycle experience which may include insurance and self-pay billing and collections, remittance processing, patient access and/or are other revenue cycle areas in a hospital or physician office setting. Bachelor's Degree Preferred
• Communicate effectively and work directly with third parties (insurance payers, patients, internal departments, vendors, leadership, etc.) to relay updates on patient accounts timely
• Ability to read and write in English is required
• Organize and articulate account disputes, and written letters of appeal
• Excellent customer service and communication as well as interpersonal, organizational and analytical skills
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