Decision Support Analyst

JOB SUMMARY Responsible for daily cash payments received thru Electronic Transfer Deposits (EFTs), mail and Credit Card payments are posted timely and accurately to the patient’s account. Works one on one with all collection agencies and spreadsheets. Responsible for all employee accounts and payroll deductions. Responsible for maintaining professional fees in timely manner. GENERAL REQUIREMENTS Performs all job responsibilities in alignment with the mission and vision of the organization. Performs other duties as required and completes all job functions as per departmental policies and procedures. Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs). Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time. Wears protective clothing and equipment as appropriate. GENERAL SKILLS Ability to communicate in English, both verbally and in writing. Additional languages preferred. Strong written and verbal skills. Basic Computer Skills WORKING CONDITIONS General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels. May be exposed to high noise levels and bright lights. May be exposed to limited hazardous substances or body fluids, or infectious organisms. May be required to change from one task to another or different nature without loss of efficiency or composure. Periods of high stress and fluctuating workloads may occur. May be scheduled as needed including overtime. PHYSICAL REQUIRMENTS & DEMANDS Have near normal hearing: Hear alarms/telephone/normal speaking voice. Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors. Have good manual dexterity. Have good eye-hand foot coordination. Ability to perform repetitive tasks/motion. Continuously within shift (67-100%): Standing, Walking. Frequently within shift (34-66%): Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry greater than 20 lbs. with assistance. Occasionally within shift (1-33%): Sitting, Climbing, Twist at waist, Lift/Carry greater than 50 lbs. with assistance, Reaching above shoulder. MISSION STATEMENT QUALITY HEALTHCARE : In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost-effective healthcare through the provisions of education prevention, diagnosis and treatment. JOB SPECIFIC COMPETENCIES Post payments and adjustments to the specified patient account in accordance with the current policy and procedure. Works accounts with credit balances for transfer or refunds. Identify the appropriate account for unidentified cash and ensures that all such cash is posted or that a refund is requested within the currently established timelines. Posting and Auto posting EFT (Electronic Funds Transfer) and Electronic Remittance Advices. Daily balances with Accounting Department. Review scanned documentation to identify contractual amounts, denials or payment adjustments that require posting to patient accounts. Posts patient account adjustments. Assists in the research and correction of posting error. Participate in the Month/Quarter/Year End- Process. Maintains current patient accounts and addresses in the computer system to avoid loss of claims. Always verifies patient account number. Interacts with patients/families in a professional manner. Provides explanations regarding statements, insurance coverage. Treats patients/families with respect; ensures confidentiality of patient records. Demonstrates the ability to be flexible, organized and function well in stressful situations. Answers the telephone in a polite manner. Communicates information to the appropriate personnel. Maintains a professional working relationship with other departments and with insurance companies. Types and mails all correspondence in a timely manner. Registers, post charges and scans documents to coding for providers. Maintains spreadsheet for Medicare Crossover and Medicare Cost Report. Performs other duties as assigned. PROFESSIONAL REQUIREMENTS Follows Code of Conduct policy. Adheres to dress code; appearance is neat and clean. Completes annual educational requirements. Maintains regulatory requirements. Maintains patient confidentiality at all times. Reports to work on time and as scheduled; completes work within designated time. Wears identification when on duty; uses computerized time clock system correctly. Completes in-services and returns in a timely fashion. Attends annual review and/or skills fair and department in-services, as scheduled. Attempts to end conversations and other interactions in a positive manner; leaves others with a good impression of the Hospital Authority of Miller County and its employees. Complies with all organizational policies regarding ethical business practices. Communicates the mission statement of the organization. GUEST RELATIONS STANDARDS (All guest relation violations are subject to disciplinary action up to and including termination): Always treat others in a friendly, helpful manner. Refers co-workers to proper sources when unable to provide an answer. Interacts with others in a professional and friendly manner. Takes interest in others and always gives full cooperation to fellow workers. Always maintains an open line of communication with other departments. Thoroughly familiar with the hospital and the services it offers. OTHER Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state and local laws and regulations, as well as, HAMC Policies and Procedures. Every employee is help accountable to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected. As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position. This user or role-based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable. OTHER DUITIES Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS High school graduate or equivalent. Minimum of two years in cash posting, billing, collections, or customer service. Banking or hospital cashiering experience or PFS certification preferred. Revenue cycle or account payable background preferred. Through understanding of Medicare, Medicaid, HMO’s, PPO’s private insurance companies. #J-18808-Ljbffr