PFS - Payment Analyst FT

HOURS & SHIFT REQUIREMENTS:  Regular full time; 40 hours weekly; Monday thru Friday, 8 – 4:30

GENERAL SUMMARY

Under direction of the Director of Revenue Cycle, the Patient Financial Service (PFS) Payment Analyst will post payments, compile monthly reports, enter adjustments and review explanation of benefits (EOBs) for accuracy and other such duties as indicated. 

GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT

To provide personalized, professional healthcare services to the residents of the Communities we serve.

PRINCIPLE DUTIES AND RESPONSIBILITIES

1.    Enter all payments/adjustments/denials daily by either manually entry or electronic posting.
2.    Accurately records all posted payments in Daily Cash Worksheet.
3.    Create deposits daily and notify Finance for reporting.
4.    Open and distribute denials, requests for medical records or any other mail that needs to be distributed to other staff. 
5.    Provide NextGen & Evident (CPSI) support functions for the Patient Financial Service (PFS) Office.
6.    Compile monthly reports and generate and/or update Excel spreadsheets requested for Revenue Cycle Management.
7.    Make outgoing and receive incoming calls and answers inquiries from patients, insurance companies and all other parties regarding estimates, status and billing concerns.
8.    Effectively communicate to customers’ needs with the appropriate level of urgency.
9.    Appropriately refers all non-routine issues to management for clarification. 
10. Review all Explanation of Benefits (EOB’s) for accuracy.
11. Assist in all Patient Financial Services (PFS) functions as assigned.
12. All other duties as assigned. 
13. Maintains confidentiality in ALL aspects of the position.

PHYSICAL REQUIREMENTS

1.    Work requires the ability to lift and carry files 
2.    Physical strength to perform the following lifting tasks:

•    Floor to waist - 10 pounds
•    Waist to shoulder - 10 pounds
•    Shoulder to overhead - 10 pounds
•    Carry 10 pounds for 15 feet

3.    Work requires ability to sit for long periods, (2-3 hours)
4.    Work requires communication abilities necessary to gather and exchange information with customer on a daily basis.
5.    Excellent telephone and public relations skill required, often under pressure.
6.    Visual acuity to proofread and check documents for accuracy daily.
7.    Ability to use a computer to put in and print data.
8.    Auditory acuity to communicate with customers effectively.
9.    Ability to function professionally under stressful conditions.

REPORTING RELATIONSHIP

Reports to the Director of Patient Financial Services.

EDUCATION, KNOWLEDGE AND ABILITIES REQUIRED

1.    General knowledge of mathematics and accounting principles.
2.    Previous experience with medical billing preferred.
3.    Knowledge of Medical Terminology preferred.
4.    Familiar with the Legal and Ethical Compliance in charging and billing.     
5.    Previous experience in the policy and procedures of billing.
6.    Requires analytical skills to evaluate claims for errors in billing and payment from payers.
7.    Good communication skills to assist patients with billing questions and concerns.
8.    AAHAM CRCS certification preferred.

INFECTION EXPOSURE RISK LEVEL

Category 3 – No Risk.

WORKING CONDITIONS

1.    Works in an office with other people.
2.    Time constraints are a source of pressure due to required turn-around time monitoring.
3.     Frequent interruptions are ongoing. The department is otherwise free from physical injury when proper safety guidelines are maintained.