Patient Account Analyst- Level 2 at HFSC

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We are dedicated to creating an environment of care and engagement that makes us one of the most desirable places to work, providing exceptional care to each patient each and every day!

PATIENT ACCOUNT ANALYST – LEVEL 2

QUALIFICATIONS

• High School Diploma required, Associate's degree preferred
• Two years' experience in business office or medical office required.
• Experience in utilizing Microsoft Excel, Outlook & Word on a daily basis
• Excellent verbal, communication, organizational and interpersonal skills focusing on customer service.
• Strong analytical skills with a focus on accuracy and error detection.
• Ability to manage multiple tasks and priorities as well as focused and calm under pressure
• Thorough and exact with numbers and financial data
• Exceptional willingness to learn

JOB SUMMARY

• The Patient Accounts Analyst - Level 2 plays a vital role in ensuring the accuracy and timeliness of billing processes within Hospital for Special Care. This position is responsible for reviewing and coding vendor invoices, supporting Medicaid redetermination efforts, managing third-party service billings, and communicating critical updates to Medicaid and SSA. This role supports trust fund activities and participates in resolving billing errors to facilitate clean claim submission and revenue optimization. The analyst collaborates closely with Patient Account Representatives, the Claim Analyst, and internal/external parties to ensure proper documentation, charge integrity, and financial compliance.

PHYSICAL DEMANDS

• This position requires walking, standing, and sitting with the ability to lift/carry and push/pull up to 20 pound frequently. This position also requires frequently looking at a computer and using a telephone for extended periods of time. This position also requires the ability to bend, squat, balance, reach above shoulder height and twist frequently. The ability to touch, see, and hear are required continuously with gross grasp and fine manipulation. This position frequently changes position moves from one area of hospital to another occasionally stands for extended period of time. Frequently works in crowded, noisy environment.

COGNITIVE DEMANDS

• This position requires moderate level of independent judgement/ problem solving, written expression/ communication, verbal expression / communication, reading / auditory comprehension and computation skills. Adjust schedule to adapt to changing priorities. Ability to work independently; accesses resources and can handle multiple responsibilities simultaneously.

WORK DEMANDS

• This position requires the ability to work under a variety of conditions that includes moderate noise and frequent interruptions. Adjust work hours and schedule to changing priorities in the department. Works both independently as well as a team. This position requires occasional overtime on an as needed basis.

ESSENTIAL FUNCTIONS

Support Inpatient Financial Activities

• Coordinate with patients, conservators, and next of kin to prepare and submit Medicaid Redetermination documentation as directed.
• Support Patient Trust Fund operations, including the secure and timely delivery of funds to appropriate nursing units or departments.
• Notify Medicaid and the Social Security Administration of all patient admissions and discharges in accordance with compliance requirements.

Manage Invoice Review and Coding

• Review and accurately code monthly charge invoices for external vendor services.
• Oversee and process outside service transport forms and invoices, ensuring timely and accurate billing.

Charge & Billing Edit Correction

• Review weekly charge kickouts, identify issues, and make necessary corrections to ensure accurate billing.
• Document and Post identified charge corrections as directed
• Collaborate with the Claims Analyst, Patient Access Services and Health Information Management to work through claim billing edits on a weekly basis.

Claim Processing

• Collaborate with the Inpatient and Outpatient teams and enter assigned claims into CTDSSMAP Medicaid system as directed

Collaborate and support Team Members

• Work closely with Patient Account Representatives on a daily basis to support timely claims follow-up, resolution of account issues, and improved revenue cycle outcomes.