Accounts Receivable Process Analyst - Hospice

Our Company

Abode Hospice and Home Health

Overview

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

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

At Abode Hospice and Home Health, our primary ambition is to bring first-class care to the warmest and most serene environment possible: home. We provide the full spectrum of hospice and home health services, thoughtfully tailored to the individual needs of patients and families. Abode Hospice and Home Health, an affiliate of BrightSpring Health Services, is grounded in a foundational commitment to providing exceptional patient care and championing our agency leadership and teams. We are proud to have experts in the health care industry on our team. We are confident you will find purpose, meaning and a chance to make a positive impact from day one. For more information, please visit www.abodehospiceandhomehealth.com. Follow us on Facebook and LinkedIn.