Account Analyst III

This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
JOB SUMMARY
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PURPOSE R
esponsible for accurately and productively analyzing Physician and Facility accounts. Identifies, researches and resolves problem accounts; and forwards if needed for the purpose of resolution. Serves as a lead/resource for department staff, which includes monitoring and training staff.
DEPARTMENT DESCRIPTION T
he Contract Management teams at Samaritan Health Services are committed to building relationships with payors as well as involved in contract review, negotiation and performance. The teams work closely with all departments within the Health System relative to contract compliance and managed care issues. We also work closely with the Quality, Population Health and Clinical teams exploring and negotiating new payment methodologies, and developing, implementing, and managing value based payment strategies. We also build and maintain the payor contracts in the computer system.
EXPERIENCE
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EDUCATION
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QUALIFICATIONS H
igh school diploma or equivalent required. College preferred. Three (3) years collections, finance/accounting or medical billing experience required. Three (3) years experience equivalent to an
SHS A
ccount Analyst level
II
role required. Experience or training in the following required:
EPIC S
oftware.
ICD
-9 or
CPT
. Medical Terminology.
KNOWLEDGE
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SKILLS
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ABILITIES C
onfidentiality: Knowledge of the importance of confidentiality. Communication: Communicate information verbally and in writing so others will understand. Customer Service: Ability to communicate to people internal and external to the organization and to represent the organization to customers, the public and external sources. Problem Solving: Ability to identify problems and review related information using logic and reasoning to evaluate options and implement solutions. Team Building: Ability to work as part of a team or on your own. Mastery knowledge of policies and procedures related to the resolution of accounts/claims.
PHYSICAL DEMANDS R
arely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 – 100% of the time)
CLIMB
-
STAIRS LIFT
(Floor to Waist: 0"-36") 0 - 20 Lbs
LIFT
(Knee to chest: 24"-54") 0 - 20 Lbs
LIFT
(Waist to Eye: up to 54") 0 - 20 Lbs
CARRY
1-handed, 0 - 20 pounds
CARRY
2-handed, 0 - 20 pounds
BEND FORWARD
at waist
KNEEL
(on knees)
STAND WALK
-
LEVEL SURFACE ROTATE TRUNK S
tanding
REACH
- Upward
PUSH
(20-40 pounds force)
PULL
(0-20 pounds force)
SIT ROTATE TRUNK S
itting
REACH
- Forward
MANUAL DEXTERITY H
ands/wrists
FINGER DEXTERITY PINCH F
ingers
GRASP H
and/Fist None specified