PFS Receivable Analyst

Position Title: PFS Receivable Analyst Location: Indianapolis, IN, US Schedule: Full Time Shift: Days Job Role Summary The PFS Receivable Analyst provides timely and accurate billing to facilitate optimized reimbursement, research, and performance improvement initiatives. Responsibilities include verifying billing data for accuracy and completeness, resolving edits or exceptions detected during claim processing, reviewing medical records and documentation, and understanding payer denials, appeals processes, and credit balances. Essential Functions and Responsibilities Proactively contributes to Eskenazi Health's mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County; models Eskenazi Health's values of Professionalism, Respect, Innovation, Development and Excellence. Manages and resolves assigned high‑balance patient accounts to maintain appropriate cash flow and ensure patient satisfaction with administrative functions. Resolves credit balances for high‑balance hospital accounts. Troubleshoots current problems, anticipates potential issues, and communicates regularly with Revenue Cycle Management team to clarify receivable issues and resolve immediate problems. Collaborates with internal departments regarding registration, prior authorizations, and/or insurance issues. Serves as a resource to other departments to resolve problems and expedite billing and collection processes. Analyzes standard system reports to ensure timely and accurate data processing. Answers e‑mails and voicemails in a timely manner. Identifies and trends payer rejections and denials; implements system process improvements to prevent future rejections and denials. Coordinates with management and system support to identify opportunities to improve automated processes based on payer guidelines and regulations. Keeps current on account billing and collection rules, regulations, contract terms, and conditions regarding timely filing and service pre‑certifications and authorizations. Works efficiently under pressure, acts independently, and accepts responsibility for decisions. Provides coaching and mentoring to billing and follow‑up team members. Participates in monthly staff meetings to educate new payer habits and related topics. Acts as liaison between department and division. Meets with insurance company representatives to ensure positive and productive relationships. Completes payer appeals for underpayment, timely filing, medical necessity, and prior authorizations. Works with management when contract variances are identified. Job Requirements Associate degree in a business‑related field preferred. Five years of accounts receivable experience in a hospital billing environment may be accepted in lieu of formal education. Knowledge, Skills & Abilities Knowledge of reimbursement procedures, provider coverage, complex state and federal regulations, and Eskenazi Health procedures and policies. Ability to utilize support systems such as Epic, Onbase, nThrive, and/or other software applications. Excellent verbal and written communication and organizational skills. Extensive knowledge of and ability to research and interpret payer billing and reimbursement guidelines. Professional, solution‑driven approach to problem solving with high ethical behavior. Ability to complete tasks within given timeframes while remaining productive and goal‑oriented. Ability to troubleshoot errors and resolve them within a reasonable amount of time. Detail‑oriented with the ability to multitask. Knowledge of PC applications such as MS Word and MS Excel; ability to learn software quickly and interpret instruction manuals. Knowledge of Epic Patient Accounting system. Ability to use computer 10‑key entry and operate a calculator. FLSA Status Non‑Exempt #J-18808-Ljbffr Marion County Public Health Department