Patient Financial Services Analyst

Pay Range: The purpose of this position is to identify trends that will improve the overall AR by completing analysis of charge validation and denials resolution. The Patient Financial Services Analyst will also perform a variety of patient accounting functions including insurance and self-pay billing, remit analysis and cash posting, accounts receivable management, and claims follow-up.

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.

Key Essential Functions and Accountabilities of the Job

• Identifies, analyzes, and reconciles billing errors or omissions.

• Ensures proper charge capture, billing, and adjudication of claims in accordance with federal, state and private billing guidelines.

• Monitors Discharged Not Final Billed (DNFB) to determine necessary actions required to minimize the volume and value of accounts being held.

• Responsible for analyzing and escalating themes for payer relation bulk resolution.

• Obtains and compares data from multiple sources and reviews for discrepancies using various applications.

• Supports the Patient Financial Services department with performing complex process and system analysis.

• Provides guidance, communicates, and serves as subject matter expert for assigned service line related to the billing and collections process.

• Assists with special projects as assigned by Revenue Cycle Leaders.

• Other duties as assigned.

Education, Certifications, and Licenses Required

• Bachelor’s degree or equivalent years of relevant experience in a healthcare billing office.

Experience Required

• Two years of experience in a healthcare billing office – required

Knowledge of

• Hospital/clinic billing and collections.
• Payor remittances and knowledge of CPT’s, HCPCS, and Revenue Codes.
• Major insurance companies' billing policies to ensure compliance.
• Reconciling and balancing of payments received against account receivables.
• Medical terminology.

Skills in

• Critical thinking skills (analyzing, problem-solving, troubleshooting)
• Organizational skills
• Oral and written communication skills

Ability to

• Collaborate within cross-functional teams.
• Complete data entry for a lengthy amount of time
• Work on different projects simultaneously, in a fast-paced setting with overlapping commitments and deadlines

Required Certifications :

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!