Apply on Employer Site

Community Health Systems · 2 days ago

Patient Accounts Analyst I - Independent Dispute Resolution (IDR) - Remote

United States

Full-time

Remote

Entry Level

1+ years exp

Community Health Systems is one of the nation’s leading healthcare providers, committed to helping people get well and live healthier. The Patient Accounts Analyst - IDR is responsible for managing the revenue cycle for assigned clinics, ensuring timely resolution of billing issues and optimizing financial performance.

Health CareHospital

Responsibilities

Reviews workflow dashboards and accounts receivable (AR) aging reports to identify trends in key financial performance indicators (KPIs) affecting clinic revenue cycle outcomes

File and manage Federal Independent Dispute Resolution (IDR) submissions in accordance with the No Surprises Act

Compile and organize documentation, including Explanation of Benefits (EOBs), medical records, and provider contracts to support IDR filings

Researches and resolves billing delays, insurance denials, and payment discrepancies, ensuring timely submission and payment of accounts

Performs root cause analysis to identify recurring issues in billing workflows and collaborates with clinic personnel to prevent reoccurrence

Processes account adjustments in accordance with PPS/CHS policies and compliance regulations

Provides training and education to clinic personnel on billing policies, system workflows, and best practices for revenue cycle efficiency

Documents all communication, training sessions, and issue resolutions between clinic staff, corporate personnel, and revenue cycle teams to maintain accurate records

Maintains current knowledge of federal and state billing regulations, ensuring compliance with payer guidelines and revenue cycle best practices

Identifies and escalates complex issues outside standard workflows, ensuring timely resolution through the appropriate leadership channels

Performs other duties as assigned

Maintains regular and reliable attendance

Complies with all policies and standards

Qualification

Medical billingRevenue cycle managementFederal IDR processesAthenaEpicMicrosoft ExcelCommunication skillsProblem-solving skillsCritical-thinking skills