Insurance Collections Analyst - Patient Accounting Acute - First

Department: Patient Accounting - Acute
Status: Full Time
Shift: First
ReqID: req31174

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: 45 W. Crystal Lake St. (Sodo) 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.