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Accounts Receivable Process Analyst - Hospice

BrightSpring Health Services
2 months ago
Full-time
Remote
United States
Hospice

Our Company

BrightSpring Health Services

Overview

The A/R Process Analyst will be responsible for monitoring all outstanding accounts. They will also be responsible for any revenue adjustments.

This is a remote role.

Responsibilities

·       Analyze aging for assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.

·       Provide any additional research for accounts designated on the critical accounts list, code and comment prior to monthly Critical Account call.

·       Rebill claims for any outstanding AR that is collectible. Provide detail comment in aging with payment date. Field questions throughout the month regarding revenue and aging issues.

·       Process revenue adjustments throughout the month for assigned Operations.

·       Balance, review and gain approvals for revenue adjustments.

·       Process revenue for month end close.

·       Upload or key revenue for operations, grants, etc.

·       Complete revenue balancing and reporting.

·       Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.

·       Send cash transfer & check requests to the cash team.

·       Conduct monthly calls with business managers at the Operations.

·       Prepare and document all allowances and/or revenue adjustments for future month to assist in forecasting according to policy and within the designated timeframe.

·       Timely follow up on insurance claim denials, exceptions or exclusions.

·       Reading and interpreting insurance explanation of benefits.

·       Respond to inquiries from insurance companies, patients and providers.

·       Regularly meet with Business Office Manager in Operations to discuss and resolve reimbursement issues or billing obstacles.

·       Regularly attend monthly staff meetings and continuing educational sessions as requested.

·       Perform additional duties as requested by Supervisor or Management team. Measurement: DSO, accounts worked per month, AR>90 days.

Qualifications

·       Minimum High School diploma or equivalent, associates degree or higher preferred.

·       At least 2 years healthcare billing, private insurance and/or federally funded programs, researching agings and claims.

·       Experience in reading and understanding remits for denial reasons and experience with State Billing Portal sites, preferred.

·       Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred.

·       Responsible use of confidential information.

·       Must be able to read. Must have strong/professional communication skills (email and phone).

·       Must understand conditions of payment. Must have strong excel skills.

 

 

 

About our Line of Business

BrightSpring Health Services provides complementary home- and community-based pharmacy and provider health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care and primary care, and rehabilitation and behavioral health, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 450,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and often industry-leading quality metrics across its services lines while improving the quality of life and health for high-need individuals and reducing overall costs to the healthcare system. For more information, please visit www.brightspringhealth.com. Follow us on Facebook, LinkedIn, and X.