Account Analyst

*Hybrid Position After Training*

Are you looking for an organization where you can make a positive impact in people's lives? Our mission at Signature Health is to make behavioral health, primary care, infectious disease, case management services and more accessible to vulnerable patient populations of all ages across Northeast Ohio. As a non-profit community health center, our team of 800+ colleagues help individuals and families overcome mental health issues, recover from addiction, and improve their physical health.

If you share in our mission and are looking for an inclusive, compassionate and patient-focused agency, then Signature Health is the place for you!

In addition to a rewarding career, you will have access to the following benefits:

• Highly attractive compensation package
• Employer shared medical benefits, dental and vision
• 401(k) with company match
• Tuition & Professional Development Assistance
• Generous paid time away from work (PTO)
• Federal Loan Forgiveness Program (available on eligible on roles)
• And much more!

Read below how you will contribute to putting good health within reach of all our community members and apply today! 

SCOPE OF ROLE:

Reporting to the Team Manager, Revenue Cycle, the Account Analyst is responsible for the entirety of assigned payers, from claims follow up to appeals and resolving payment variances. You will work with insurance carriers to ensure timely accurate payment for services rendered. The Account Analyst is responsible for supporting the revenue cycle functions of the organization.

HOW YOU’LL SUCCEED:

• Manage assigned payments, denials, collections, and reporting for assigned payers until resolved.
• Submit appeals and/or resolve claim rejections, underpayments and denials.
• Analyze work queues and reports to identify and analyze denial trends, payment variances and provider mapping issues
• Initiate insurance follow up on aged, unresolved claims to ensure accurate reimbursement
• Regularly review resource material such as BH Redesign Manual, FQHC information to ensure carriers are adhering to regulations
• Identifying invalid denials and working with leadership to escalate to Payer Representative
• Maintain clear communication with staff, referents or designated liaison persons.
• Monitor and enforce clients rights and confidentially, and ensure high ethical standards.
• Accountable for all aspects of assigned payer set up and execution; develop and implement strategies under strategy of the Chief Financial Officer.
• Comply with all agency policies and procedures.  
• Maintain all aspects of HIPAA, promoting patient confidentiality and right to privacy. 
• May be required to perform remote services as determined by Signature Health. 
• Adherence and completion of compliance training provided by Signature Health.  
• Responsible for and completes all productivity/documentation requirements. 
• Participate in all assigned staff meetings and staff development programs. 
• Maintain regular and punctual attendance.
• Other duties as assigned. 

KNOWLEDGE & EXPERIENCE:

• High School Diploma or equivalent required.
• 3+ years’ experience in healthcare, primary medicine or behavioral health billing preferred.
• Knowledge of ICD Diagnosis, ICD Procedure codes, CPT codes and medical terminology required.
• Experience in billing private insurance a preferred.
• Proficiency in Microsoft Office Word, PowerPoint and intermediate-level Excel skills.

WORKING CONDITIONS:

• In-home high-speed internet is required. DSL, cable or fiber internet service with the ability to hardwire via Ethernet from cable modem to a PC with a download speed of at least 25 mbps and an upload speed of at least 15 mbps.
• Work is normally performed in a typical interior/office/clinical work environment.
• While hours of operation are generally standard, flexibility to work evenings and extended hours may be required.
• Requires periods of sitting, standing, telephone, and computer work.
• Hearing: adequate to hear clients or patients in person, over the telephone or through telehealth technology.
• Speaking: adequate to speak to clients or patients in person, over the telephone or through telehealth technology.
• Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
• Physical effort required: occasional lifting and carrying items weighing up to 15 pounds, unassisted.
• Possible exposure to blood borne pathogens while performing job duties.
• Frequent bending, reaching, and repetitive hand movements, standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular workday.
• Sufficient dexterity to operate a PC and other office equipment.

ADDITIONAL INFORMATION:

• FLSA Status: Non-Exempt
• Internal Job Code: 1150
• Revenue Status: Non-Revenue Generating
• Last Revision Date: 3/2/2021

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