Position Summary:
The Payment Analyst is responsible for posting & reviewing all third-party payments (hospital & clinics) from insurance companies and government payers. Calculate/post contractual allowances for all payers and ensure their accuracy. Analyze insurance and government payments for denials and flag denials/inappropriate payments for billers to follow- up. Post electronic remittances from online ERA storage and patient payments.
Minimum Qualifications:
Required
Preferred
- High School Diploma or Equivalent
- 1 year of healthcare billing experience
Essential Job Functions:
In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.
- Accurately post all third party payments (electronically and manually).
- Analyze payments for denials and flag denials/inappropriate payments for billers to follow- up.
- Accurately calculate/post contractual allowances from insurance and government payers.
- Transmit weekly self-pay accounts to early-out program.
- Reconcile NSF checks and lost payments.
Knowledge, Skills, and Abilities
- Strong interpersonal, verbal and written communication skills.
- Ability to work varied shifts.
- Computer applications, MS Office, EMR, internet applications and standard office equipment.
- Self-directed, completes assignments accurately, thoroughly and with minimal oversight.
Physical Requirements
- Lifting, Pushing, and Pulling: Lift 30 pounds of weight (pick up supplies, move equipment, etc.) Carry equipment/supplies.
- Extended Hours: The role may involve working for extended periods, requiring sitting, walking, or standing for eight or more hours daily.
- Flexible Schedule: The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts
- On-Call Availability: On-call work may be required to respond promptly to organizational, patient, or employee needs
- Effective Communication: Proficient in effective communication, both in person and through various technologies
- Handling Challenging Situations: The role may involve dealing with upset individuals, requiring the ability to de-escalate situations and work effectively with frustrated patients, families, or employees
- Repetitive Tasks: Ability to perform repetitive tasks as needed to fulfill job responsibilities
Exposures
Tasks Include Potential Exposure: Job tasks may involve exposure to:
- Bloodborne pathogens, such as blood, bodily fluids, or tissues.
- Radiation in settings where medical imaging procedures are performed
- Various chemicals and medications used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances.
- Infectious diseases due to contact with patients in areas that may have contagious illnesses
The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.
77211370 Patient Financial Services
What We Do
Bozeman Health is an integrated health care delivery system serving an eleven-county region in Southwest Montana. As a nonprofit organization, governed by a volunteer community board of directors, we are the largest private employer in Gallatin County, with more than 2,600 employees, including 270 medical providers representing over 40 clinical specialties. It is our privilege to deliver expert, compassionate health and wellness services across the care continuum, designed to meet the diverse health care needs of the communities we serve
