Patient Accounts Analyst

Additional Information About the Role BJC HealthCare is seeking a Patient Accounts Analyst for the Illinois Medicaid payor payment variance team. Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion, over 30,000 employees, and 14 hospitals plus multiple community health locations, BJC serves patients and families across urban, suburban, and rural communities. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long‑term care, and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in Missouri. The organization provides $785.9 million annually in community benefit, including $410.6 million in charity care and other financial assistance to patients. Additional community benefits are available through commitments to research, emergency preparedness, regional health care safety net services, health literacy, outreach, and economic development. Patients at BJC have access to the latest medical science and technology through a formal affiliation between Barnes‑Jewish Hospital, St. Louis Children’s Hospital, and the Washington University School of Medicine. Preferred Qualifications Role Purpose The Patient Accounts Analyst ensures that all insurance, accounts receivable and billing processes are completed accurately and timely. This includes, but is not limited to, cash posting, billing, and the review & reconciliation of individual patient accounts. The position provides support to internal departments on AR matters and works closely with their management teams to maintain efficient operations and proactively identify and resolve issues. Responsibilities Analyzes payment trends in the Account Receivable and denials to work with various payors and provider representatives to ensure accuracy among our payor contracts; provides expertise in payment and contractual allowances to ensure accuracy among our payor contracts, clinical arrangements and hospital agreements. Monitors reimbursements from third‑party carriers as defined in contracts through federal and state requirements; ensures appropriate reimbursement among various specialty billing areas and complex claims. Analyzes, develops and prepares reports for leadership utilized for operations and identifying trends; utilizes knowledge of all aspects of the revenue cycle to make sound decisions as it relates to the remediation of claims. Participates in regular meetings with payor representatives, clinical departments or hospital facilities; studies data, identifies discrepancy patterns and presents solutions; analyzes clinical or payor data to make informed decisions on the remediation of patient accounts. Provides informal guidance, support and training to team members to aid in achieving revenue management’s operational objectives. Minimum Requirements Education High School Diploma or GED Experience 2–5 years Benefits and Legal Statement BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well‑being. Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date Disability insurance paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary. *Not all benefits apply to all jobs. The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer. #J-18808-Ljbffr