Patient AR Analyst

  • OU Health
  • Oklahoma City, OK, USA
  • Aug 05, 2022
Full Time Healthcare IT

Job Description

Position Title:

Patient AR Analyst

Department:

Revenue Integrity

Job Description:

General Description: The Patient AR Analyst is responsible for the management and resolution of patient balance accounts by performing a variety of complex clerical and accounting functions for physician billing. This position provides customer service by answering incoming calls related to inquiries and providing resolution based on established procedures.  This includes, but is not limited to, inquiries from providers, clinic staff, patients, and other departments regarding billing, account status, balances, and grievances.  The Patient AR Analyst is also responsible for patient statements, bad debt review, collection account selection, returned mail, and various other tasks.

Essential Responsibilities:

  • Performs follow-up on all patient balances
  • Prepares, downloads, reviews, prints, and mails patient statements
  • Contacts patients regarding outstanding balances adhering to collection effort guidelines
  • Reviews accounts for bad debt write offs
  • Determines which accounts to send to collections
  • Processes returned mail and distributes correspondence
  • Answers calls from patients and insurance companies
  • Reviews self-pay and balance after insurance accounts to confirm agreed upon financial arrangements are being met in a timely and consistent basis
  • Assists patients with payment arrangements and financial assistance applications
  • Documents all activities within the patient's EHR
  • Assists in maintaining patient billing files, records, and other information
  • Maintains insurance files regarding updates and changes
  • Ensures any patient complaints are handled appropriately and forwarded to the Director of Patient Accounting, as necessary
  • Acts as Collection Agency Liaison

    General Responsibilities:

  • Assists fellow team members and other departments as necessary
  • Follows processing guidelines and established policies/procedures
  • Performs other clerical duties as assigned
  • Maintains confidentiality of patient and facility related business
  • Documents concisely, precisely, and accurately on all records or documents as indicated by policy
  • Participates in QA activities as directed
  • Assists in both day-to-day and special projects and performs other duties as assigned
  • Periodically works with their Manager to review and discuss individual work accomplishments, work problems/barriers, progress in mastering tasks and work processes, individual training needs, and career progression
  • Supports period-end closing procedures
  • Compiles statistical data for reports and records
  • Performs other related duties as assigned.

Minimum Qualifications:

Education:    None required. Bachelor’s Degree preferred

Experience:   Minimum 2 years of work experience required including at least  1 year of Collection experience.  5 years of healthcare related experience preferred.   Experience in a multi-specialty clinic setting highly desired. Bilingual highly desired.

Or equivalent combination of education and experience

License(s)/Certification(s)/Registration(s) Required:  N/A

Knowledge, Skills and Abilities:

  • Expected to cross train to serve as a backup for other functions of the physician billing team
  • Regular, physical attendance on a predictable basis is essential to the performance of this job
  • Knowledge of principles and processes for providing customer and personal services, including customer needs assessments, meeting quality standards for services, and ensuring customer satisfaction
  • Ability to secure payments using effective communication skills in a professional manner
  • Must be highly motivated and work well both independently and in a team environment
  • Must be trustworthy, accurate, self-reliant and organized
  • Needs excellent judgement and creative problem solving skills
  • Must have experience with EMR and Practice Management software
  • Ability to use computer systems, various applications, and operate office equipment
  • Must communicate effectively with patients, clinical and administrative staff, and other team members
  • Ability to function effectively in a fast-paced and changing environment with multiple priorities and objectives
  • Ability to  resolve conflicts, while maintaining professionalism and ensuring exemplary customer service
  • Ability to evaluate processes and procedures for continuous process improvement
  • Knowledge of Medicare and Medicaid programs
  • Knowledge and understanding of medical terminology
  • Knowledge of clinic office procedures
  • Ability to use proper grammar, spelling, punctuation and sentence structure to answer correspondence and reports
  • Ability to plan, organize and oversee workflow
  • Working knowledge of medical claims processing guidelines and practices
  • Knowledge of standard reference applications (CPT, ICD-10, HCPCS, DRG)
  • Familiarity with Medicaid qualifications and financial assistance applications

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OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.