CareCentrix

Analyst - Patient Services Vendor

US-FL-Tampa
Job ID
2017-4365

Overview

The Provider Services Vendor Analyst is responsible for ensuring prompt patient account resolution by supporting any and all collection vendors including soft, primary and secondary agencies. The Vendor Analyst will focus on quality and exceptional customer service in addition to patient collections.


Key metrics for the position will include:

  • Patient days of accounts receivables outstanding (DAR)
  • % net billed and collected within four quarters
  • Complaint/escalations generated by the vendors
  • Offline work service-level adherence

Responsibilities

  • Communicate professionally with appropriate parties for prompt account resolution. 
  • Build and maintain excellent vendor relationships.
  • Research and respond to all inquiries or requests to support vendor operations and ensure prompt and accurate account resolution.
  • Collaborate with internal and external customers to obtain appropriate documentation to resolve open account issues. 
  • Investigate payment status and determine patient financial responsibility. Review health plan explanation of benefits for accuracy of patient responsibility.
  • Collaborate with vendors(s) to collect outstanding balance and/or offer patient assistance with financial responsibility through various financial options.
  • Analyze and resolve payment variances, including but not limited to preparation of adjusted and corrected bills, and/or adjusting accounts receivable entries in accordance with existing operating procedures. 
  • Maintain diplomacy when addressing escalated matters. 
  • Process correspondence or forward to the appropriate designee, as applicable. 
  • Review open accounts and take appropriate action(s) through understanding charges, billed claims, payments, denials, adjustments, and refunds. 
  • Exercise good judgment, interpret data, and remain knowledgeable of all related CareCentrix contracts, policies, and procedures. 
  • Participate in process improvement initiatives; maintains teamwork, customer service production, and quality standards to assure timely, efficient, and accurate resolution.
  • Take appropriate action when patient/vendor requests assistance in reconciling patient financial responsibility.
  • Responsible for providing support and direction to the other RCM team members on project related items needing assistance or escalation.
  • Actively participates in and provides ideas on improving overall team performance through sharing best practices, discussing and implementing process improvements and continuously working to improve efficiency.
  • Provide support and direction to other members of the RCM team to assist in developing functional knowledge in areas of expertise.
  • Participates in special projects and performs other duties as assigned.
  • Maintain knowledge of functional areas and adheres to and participate in Company’s mandatory HIPAA privacy program / practices, Business Ethics, and Compliance programs / practices. Complies with Utilization Management and URAC standards.

Qualifications

A minimum of 3 years of experience in healthcare payor and/or provider organizations with demonstrated functional knowledge in revenue cycle management. Bachelor’s degree in management, accounting, or other related degree or the equivalent experience is preferred.  Proficient with MS Office suite including intermediate skills in Excel.

  • Data-driven, analytical with strong problem solving skills
  • Ability to work independently as the face to the vendor
  • Excellent communication skills; both verbally and written
  • Ability to communicate with all levels of the organization across all departments
  • Strong ability to develop resources through continuous coaching, mentoring and education
  • Strong focus on process, process improvement and quality

 

CareCentrix maintains a drug-free workplace in accordance with Florida’s Drug Free Workplace Law.

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed