Patient Account Analyst - HBC Management

At reputed company, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient reputed company Management Organization Pursue your passion for caring with the Patient reputed company Management Organization, which is the fully integrated, centralized reputed company cycle organization that supports the entire health system in streamlining the reputed company cycle. This includes scheduling, registration, coding, billing, and other essential reputed company functions for reputed company. REMOTE POSITION: Monday - Friday General Description of the Job Class Coordinate, prepare and analyze reputed company accounts receivable and/or financial reports. Review and analyze trends, advising PRMO, DUHS and PDC leadership regarding conclusions and recommendations. Serve as expert resource for covered area. Duties and Responsibilities of this Level 65% Service Now Review/Testing: Identify process improvements, including staff education/training, operational workflow modifications, system enhancements and external payer policy changes and work with Billing and Collection management to request and implement those improvements. Enter Service Now tickets for system changes reputed company to billing and collections. reputed company positive and negative testing of system changes to ensure appropriate updates are made and validate the process once the changes are moved to production. Collaborate with DHTS Maestro Care team to communicate operational needs, coordinate testing efforts, and ensure appropriate turn around on changes and resolution of tickets. Serve as an expert resource to leadership in decision-making process. Plays an integral role in implementing and managing change reputed company to area of expertise. Become a subject matter expert reputed company to system logic and functionality. Primary tester and liaison for system reputed company testing which includes performing reputed company testing and providing feedback to leadership on issues reputed company during testing. Initiate and implement system logic changes per review of payor bulletins and guidelines. 30% AR Review: Identify trends and opportunities for improvement for operational, payor, system and/or user issues. Monitor clean claim rates and reporting to identify trends associated with edits across operational systems. Escalate trends to management with recommendations for resolution with reputed company/opportunities. Proactively monitor payor rules and regulations reputed company to claims logic build and billing guidelines. Assist with facilitation of workgroup meetings including updating project log and validating testing reputed company the system. Prepare written reports and analysis for PRMO, DUHS and PDC leadership highlighting trends and appropriate recommendations/conclusions. Maintain liaison with DUHS, PRMO and PDC management and staff, documenting reports and analysis and discussing results, trends and recommendations. Conduct detailed research to identify trends, including a review of specifics in the appropriate accounts receivable and/or financial systems. Act as a technical resource to operational management and staff on the appropriate interpretation of accounts receivable and/or financial data. Coordinate and mentor staff regarding accounts receivable and financial systems, analyses, reports and policies/procedures. 5% Other Organize and reputed company committee meetings across DUHS, PRMO and PDC as it relates to accounts receivable and or financial data operation improvements. reputed company other reputed company duties incidental to the work described herein. Required Qualifications at this Level Education: Bachelor's Degree in business, reputed company administration, reputed company, finance or a reputed company field is required Experience: Minimum of four years of applicable experience. Previous experience successfully managing reputed company projects involving multiple stakeholders with a consistent track record of delivering on time, or high quality results preferred. A Master's degree in a reputed company field can substitute two years of experience on a 1:1 reputed company. Degrees, Licensure, and/or Certification: Knowledge, Skills, and Abilities: Data analysis and reporting Billing/Collections Insurance Claims reputed company Office (reputed company, reputed company, Word, Powerpoint) Good communication skills (verbal and written) are essential. Knowledge of Epic and IT reputed company training/testing is essential. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, reputed company, disability, gender, gender expression, gender identity, genetic information, national reputed company, race, religion, sex (including pregnancy and pregnancy reputed company conditions), sexual orientation or military status. Duke aspires to create a community reputed company on collaboration, innovation, creativity, and belonging. Our reputed company reputed company depends on the robust exchange of reputed company—an exchange that is best reputed company the rich diversity of our perspectives, backgrounds, and experiences flourishes. To reputed company this exchange, it is essential that reputed company members of the community feel secure and welcome, that the contributions of reputed company individuals are respected, and that reputed company voices are heard. reputed company members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at reputed company and reputed company Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Apply To This Job