Job Description:

 Account Analyst

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 Supervisor, 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 billing of services and 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 denial trends, payment variances and provider mapping issues.


• Initiate insurance follow up, reviewing aged, unresolved claims to ensure accurate reimbursement.


• Regularly review resource material such as the BH Redesign Manual Medicaid and Medicare FQHC billing rules to ensure insurance carriers are adhering to regulations and billing requirements.


• Identifying invalid denials and work with Revenue Cycle leadership to escalate to systemic issues to payer representatives


• Maintain clear communication with staff, or designated liaison persons.


• 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-10 Diagnosis CPT and HCPCs codes and medical terminology is a plus. 


• Proficiency in Microsoft Office Word, PowerPoint and intermediate-level Excel skills.

WORKING CONDITIONS:

• Work is normally performed in a typical interior/office/clinical work environment. Flexibility to work remote X days per week, X days in the office once requisite training requirements for 6 week period is completed. 


• 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. 


• 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.

This Success Profile is not an exhaustive list of all functions or requirements that you may be required to perform; you may be required to perform other job-related assignments as requested by your supervisor or the company. You must be able to perform the essential functions of the position satisfactorily; however, if requested, reasonable accommodations may be made to enable you to perform the essential functions of this job, absent undue hardship. Signature Health may revise this Success Profile at any time, with or without advanced notice. 

 All employees of Signature Health are required to comply with the Signature Health Annual Influenza Vaccination Policy. This policy requires employees to obtain an annual flu vaccination. A medical and/or religious exemption may be submitted for review by the Signature Health Review Committee. Exemption requests are not guaranteed to be approved.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Administrative

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