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Insurance Collections Analyst - Patient Accounting Physicians - First

 

Insurance Collections Analyst - Patient Accounting Physicians - First

Department: Patient Accounting -Physicians
Status:
Full Time
Shift:
First
ReqID: req24801

The Insurance Collections Analyst is responsible for tracking, performing analysis and developing performance improvements to support and enhance processes within the Patient Financial Services Department.

Education/Training

  • Associate's degree and/or experience on a 1:1 basis, offsetting experience must be in the field of Healthcare/Patient Financial Services.
  • Must complete Orlando Health Patient Financial Services Professional Development program within one (1) year from date of hire.

Experience

  • Two (2) years Patient Access (Patient Business), Patient Accounting, billing or closely related experience required.

Essential Functions

  • Develops goals and objectives. Must track all denials coming into PFS.
  • Conducts analysis and outcome assessments on denials to formulate weekly spreadsheets for management review.
  • Develops recommendations and presents proposals to management.
  • Records process issues and maintain logs.
  • Maintains all documentation for the Operations Improvement Teams within Patient Financial Services.
  • Functions as a preceptor to assist trainers and liaisons in following-up with staff on educational issues in the workplace.
  • Audits proper use of appeal letters and account flow from identification stage through resolution.
  • Prepares recommendations and presents proposals to management for operational improvements and cost containment based upon analysis of indicators and processes.
  • Keeps up with current legislation concerning HMO appeals on both national and state levels.
  • Communicates any issues and problems to the Support Manager/Managed Care Liaison/Patient Accounting Director.
  • Assists in the analysis of managed care contracts and payment trends to identify problem areas.
  • Participates in management and other meetings as necessary.
  • Maintains professional growth and development in areas of expertise.
  • Ensures implementation of process improvements.
  • Handles special projects for Patient Financial Services as necessary.
  • Assists with training processes upon request.
  • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
  • Maintains compliance with all Orlando Health policies and procedures.

Other Related Functions

  • Provides in-services per needs assessments.
  • Represents Orlando Health through community interaction.

ADDRESS: 4401 S. Orange Ave., Suite 113 (ORHA Central) Orlando FL 32806

ABOUT ORLANDO HEALTH

Orlando Health is one of Florida's most comprehensive private, not-for-profit healthcare networks, and is based in Orlando, FL. Our facilities, advanced medical treatments and procedures, and highly qualified staff have distinguished Orlando Health as a healthcare leader for nearly two million Central Florida residents and 10,000 international visitors annually. Click here to learn more about Orlando Health.


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