Contract & Denials Analy - P/A

Job description

Entity: Aultman Hospital
Position Summary:
Patient accounting skills in two or more areas: 1. Billing, 2. Insurance collections, 3. Administrative support, 4. Customer service and 5. Cash posting. Responsibilities involve concentration on cash receivables using computer-based applications to provide accelerated accounts receivable recovery. Focuses on the revenue cycle to optimize revenue, improve cash flow and strengthen our financial position. Performs tasks required to ensure the systematic and timely payment applications and resolution of all accounts in assigned inventory. Documents all collection activity in the patient accounting system. Maintaining compliance with government and contract regulations and working with both internal and external customers.
Department Summary:
Patient Financial Services is responsible for the Revenue Cycle cash, charges, billing and follow up on all active Account Receivable balances. It is our core responsibility to ensure accurate and timely records for the revenue cycle.
Job Qualifications:
• High School Diploma or equivalent
• 3 – 5 years of experience in accounts receivable
• Knowledge of claims review and analysis
• Administrative support experience with multi-hospital systems
• Expert knowledge of Microsoft Office; and the ability to learn new programs and systems.
• Accounts Receivable database application knowledge
• Strong written and oral communication skills
• Strong analytical skills and attention to detail
• Self-directed and capable of working without direct supervision.
• Dependable in both production and attendance
• Professional manner in appearance
• Typing proficiency

Department Specific Qualifications:
• Working knowledge of A/R billing system
• Analytical knowledge and capture of reporting software

Job Skills:
• Microsoft software knowledge
• Detail oriented.
• Communicate effectively.
• Adaptability to changing work environment or needs.
• Typing proficiency
• Ten Key Proficiency
• Audit of A/R system
• Reporting of Cash Productivity

Department Specific Job Skills:
• A/R software knowledge
• Multi software application ability and administrative detail
• Cashier duties
• Duties as assigned by Supervisor

Responsibilities & Expectations:
Daily/weekly/monthly reporting of Account Receivable
Auditing Productivity and Quality
Ability to work multiple job duties with Patient Account
Training/cross training of staff members
Governmental Record keeping
Working Conditions:
Please list the working conditions in the work environment. Examples are below.
• Work eight hours a day.
• Ability to flex time as needed for appointments.
• On Site mandatory
• Lunch periods and breaks are coordinated with other staff members to maintain adequate coverage.
• Cross training in all areas in the department is required.
• Travel to other facilities as needed

Department Specific Working Conditions:
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, gender identity, sexual orientation or protected veteran status.
Hazardous Exposure Category: Select Category I, II or III and delete the other categories.
Category III- Includes tasks that involve no exposure to blood, body fluids, or tissues and Category I tasks are not a condition of employment. The normal work routine involves no exposure to blood; body fluids or tissues (although situations can be imagined or hypothesized under which anyone anywhere might encounter potential exposure to body fluids.) Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid or to be potentially exposed in some other way.
Department Specific Responsibilities & Expectations:
Physical Addendum: Please place one “X” in the appropriate box for the requirement.
PHYSICAL DEMANDS
Never
Occasional
10-33%
Frequent
34-65%
Continuous
66% of the day
Remarks
Lifting 0-10 lbs
x
Lifting 10-20 lbs
x
Lifting 20-35 lbs
x
Lifting 35-50 lbs
x
Lifting 50-75 lbs
x
Lifting 75-100 lbs
x
Lifting over 100 lbs
x
Forward
Reaching
x
Overhead
Reaching
x
Standing
x
Walking
x
Sitting
x
Climbing
x
Stairs/Ladder
x
Bending
Stooping
x
Pushing
Pulling 0-10 lbs
x
Pushing
Pulling 10-20 lbs
x
Pushing
Pulling 20-35 lbs
x
Pushing
Pulling 35-50 lbs
x
Pushing
Pulling 50-100 lbs
x
Pushing
Pulling over 100 lbs
x
Grasping/repetitive
sustained
x
Fine motor
coordination
x
Vision: Near/Far
x
Hearing: ordinary
conversation/other
x