Patient Financial Quality Analyst

at  Banner Health

POSITION SUMMARY

This position assists with the overall quality, monitoring, analysis, reporting and audit management as necessary by contractual and regulatory requirements for Banner payors. This position also identifies and refers system issues to Production Control and Reimbursement Services to prevent disruption in workflow of the entire PFS department. Facilitates credit balances and underpayments on patient accounts. Collects, verifies, analyzes and summarizes data; identifies trends and communicates results to management. Serves as a resource to provide leadership with the data, trends, analyses, and information needed to help minimize loss of revenue. Assists with compliance reporting to insurance carriers and other third parties as required.

MINIMUM QUALIFICATIONS

Bachelor’s degree or an equivalent combination of education and experience. Strong mathematical skills required.
Three to five years related work experience in patient financial services work and/or accounting is required. Helpful to have an understanding of medical terminology, and a broad understanding of medical insurance laws and guidelines, insurance policy and coverage types, hospital billing procedures and payment policies, Medicare and AHCCCS laws and regulations on billing. Broad understanding of common terms and clauses of insurance contract language, math aptitude and flexibility to handle unanticipated work and able to manage multiple concurrent tasks. Must be able to evaluate insurance remits for accuracy in accordance with payor guidelines.
Requires strong organizational abilities, proficiency in Professional Customer Service, oral and written communications, accurate and efficient keyboarding with strong competencies in the use of common office software applications, the ability to create spreadsheets to analyze and present data. Requires effective teamwork skills and the ability to meet deadlines and productivity standards.

PREFERRED QUALIFICATIONS

Work experience with the Company’s billing/collections systems and processes or finance is preferred. Previous successful experience in a leadership role, previous experience in training and/or previous clinical experience is a plus.
Additional related education and/or experience preferred.

Please refer the Job description for details