Qureos Mentor

Bristol Hospital Incorporated

<div>At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet &reg; and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice.
Job Summary
In a hospital and/or professional office environment, the Systems Account Resolution Analyst is responsible for billing and patient account reconciliation. This job requires critical thinking skills, organizational skills, account investigation, claim escalation, and overall account resolution of a patients and/or insurance balances. This is accomplished by utilizing insurance web portals, call inquiries, written correspondence, and collaborating with internal departments. This role requires an employee to work in a team environment as well as independently. The System Account Resolution Analyst will contribute to meeting departmental goals as well and organizational goals. 
Essential Job Functions and Responsibilities:<ul><li>
Contacts insurance carriers to facilitate payments, review underpayments and denials. Refer difficult accounts to denials team for further action</li><li>
Identifies barriers to efficient departmental operations related to self-pay billing/trends in insurance denial and takes an active role in developing appropriate solutions</li><li>
actively works daily work queue and clearing house denials</li><li>
Assists the self-pay follow up team in areas such processing financial assistance applications, payment plans through third party vendor, preparing patient refund requests, processing bankruptcy notifications, return mail, etc</li><li>
Reviews payer bulletins to stay current on updates.</li><li>
Communicates with departments and Coding Vendor to resolve claim issues.</li><li>
Respond and takes action related to calls, emails, and faxes related to patient billing in a timely and professional manner</li><li>
Uses a patient-centric approach to answer questions and provide information in a professional manner</li><li>
Understand all payer regulations to effectively communicate with patients about charges, payments and adjustments on their account</li><li>
Investigate patient inquiries/disputes surrounding charging, coding, payments, locations, services, insurance coverage, etc</li><li>
Works with individuals when appropriate at various levels of the organization to find resolution on patient disputes</li><li>
Updates account information (addresses, insurance, etc.) and rebills as appropriate to initiate the next steps in the billing and collection cycle</li></ul> 
Qualifications:
<ul><li>High School Diploma and at least three (3) years of revenue cycle experience which may include insurance and self-pay billing and collections, remittance processing, patient access and/or are other revenue cycle areas in a hospital or physician office setting. Bachelor's Degree Preferred</li><li>
Communicate effectively and work directly with third parties (insurance payers, patients, internal departments, vendors, leadership, etc.) to relay updates on patient accounts timely</li><li>
Ability to read and write in English is required</li><li>
Organize and articulate account disputes, and written letters of appeal</li><li>
Excellent customer service and communication as well as interpersonal, organizational and analytical skills</li><li>
Proficient in Office Applications (e.g. Excel, Word, Google Sheets, Google Mail)</li><li>
Comprehensive knowledge of Professional and/or Hospital revenue cycle</li><li>
Ability to work in a high volume setting and respond to insurance or patient inquiries in a timely manner</li><li>
Ability to identify and communicate payer trends and/or system trends</li><li>
Ability to navigate payer websites</li><li>
Knowledge of payer contracts, regulations and guidelines, as well as State and Federal laws relating to billing, collection, and financial assistance procedures preferred</li><li>
Familiar with medical and insurance terminology</li><li>
Proficient in the use of a computer and relevant hospital software applications e.g., Meditech and/or eClinicalWorks</li><li>
Understanding and adherence to HIPAA Regulations and Release of Information Rules</li><li>
Models teamwork through cooperation and collaboration within and outside the work group</li><li>
Ability to attain productivity and quality standards per department requirements</li></ul>
State/Federal Mandated Licensure or Certification Requirements:
<ul><li>None.</li></ul>
Bristol Hospital Mandated Educational Requirements:
<ul><li>General orientation at time of hire. Fire/Safety/Infection Control annually. Other programs as mandated by Hospital.</li></ul>
Special Requirements:
Adapts at PC use - computer keyboard with minimum error. 
<ul><li>
</li></ul> 
<ul><li>Physical Requirements:</li><li>
Must maintain daily flexibility including but not limited to sitting and standing. Requires continual use of computer screen access and data input requiring dexterity and movement. Ability to efficiently move about the Business Office to retrieve and seek information necessary to decision make is required. Vision and hearing corrected to normal is essential.</li></ul>
Work Environment:
<ul><li>Normal office conditions.</li></ul>
Cognitive Requirements:<ul><li>
Must be able to think independently, analyze information, execute written and oral instructions, follow directions, speak, write and understand English and have good mathematical aptitude.
</li></ul>Disclaimer:The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.</div>

Insurance Biller/Systems Accounts Resolution Analyst Full Time 40 hours

<div>At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet &reg; and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice. 
JOB SUMMARY: 
Under the direction of the Manager of Pre-Service and Financial Clearance, the Financial Clearance Analyst is responsible for the financial clearance of scheduled patient authorizations, including insurance verification, and validation of medical necessity for services. Works in coordination with 
provider practices and hospital departments to ensure all scheduled services are reviewed for required authorizations and cleared in advance. The Financial Clearance Analyst will also work other revenue cycle teams to ensure proper billing requirements are met and denials are proactively addressed.
ESSENTIAL JOB FUNCTIONS:<ul><li>
Handle authorization process and obtain pre-certification approvals prior to service.</li><li>
Submit pre-authorization requests and follow up with payer to ensure timely approvals</li><li>
Maintain accurate records and reports of pre-certifications request, approvals, and denials</li><li>
Work assigned worklists and submit authorization information according to payer requirements</li><li>
Follow up on authorization requests and coordinate with practices and departments according to established policies</li><li>
Collaborate with revenue cycle team and participate in monthly meetings to review payment and denial trends</li><li>
Coordinate with provider practices and hospital departments to ensure timely scheduling of patient procedures</li><li>
Respond to patient and insurance inquiries and provide Good Faith Estimates when required</li><li>
Perform post service reconciliations and denial follow up tasks</li><li>
Act as a back-up to the Financial Counselor team, supporting Notice of Admission and Financial</li><li>
Assistance activities Adhere to applicable policies and procedures, including HIPAA compliance, and state and federal regulations</li><li>
Other duties as assigned</li></ul>
KNOWLEDGE / SKILLS / ABILITIES:<ul><li>
Ability to ensure quality and integrity of assigned tasks and meet given productivity standards</li><li>
Possess a patient-centric approach to answer questions and provide information in a professional manner</li><li>
Demonstrate teamwork, cooperation and collaboration within and outside the team</li><li>
Skill in effective oral, written, and interpersonal communication</li><li>
Skill in problem-solving in a variety of settings and translation of data into actionable steps</li><li>
Ability to read, understand, interpret, and analyze payer requirements</li><li>
Ability to work independently and take initiative</li><li>
Excellent customer service and communication as well as interpersonal, organizational and analytical skills</li><li>
Demonstrate initiative and ability to multi-task while working independently</li><li>
Strong organizational skills and systems aptitude</li></ul>
REQUIRED EDUCATION / EXPERIENCE:<ul><li>
A Bachelor's degree and a minimum of (1) year of revenue cycle experience or Associates degree and a minimum of (2) years of patient access, financial clearance or financial counselor experience or High School Diploma and a minimum of (5) years of patient access, financial clearance or financial counselor experience</li><li>
Experience with payer portals and requirements preferred</li><li>
Familiarity with medical and insurance terminology</li><li>
Knowledge of payer contracts, regulations and guidelines as well as State and Federal laws relating to billing, collections, and patient access procedures</li></ul>
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.</div>

Financial Clearance Analyst Part Time 32 hours

Join Bristol Hospital Incorporated and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Bristol Hospital Incorporated

ABOUT_COMPANY

Insurance Biller/Systems Accounts Resolution Analyst Full Time 40 hours

Financial Clearance Analyst Part Time 32 hours