Home Infusion Associate Analyst

Kennebec Pharmacy & Home Care has an exciting opportunity at our Augusta location as a Home Infusion Associate Analyst. This position is Monday thru Friday 8-5 with remote work availability. We offer competitive pay, benefits and generous paid time off. Apply today!

POSITION SUMMARY:

Under the direction of the Revenue Cycle Manager, the Revenue Cycle Account Receivables Analyst is responsible for maintaining the integrity of cash for KPHC. The Revenue Cycle Account Receivables Analyst is responsible for ensuring maximum efficiency and accuracy of accounts receivable balances through payment posting and credit and refunds oversight. Revenue Cycle Account Receivables Analyst is also responsible for monitoring, working, and assessing various work queues within the Electronic Health Record (EHR) system and working with IT to improve system workflow based on trends and patterns identified. The Revenue Cycle Account Receivables Analyst is responsible for developing policies and procedures, as well as supporting the business operations for assigned functions within the Revenue Cycle Operations team and in support all revenue generating departments. The responsibilities will include monitoring EFT transactions and bank statements; posting EFTs and completing manual posting, partnering with the Finance Department to correct daily and monthly reconciliation discrepancies; and performing ad-hoc analytical tasks as assigned. The Analyst acts as a liaison working with staff within the departments on tasks related to incorrect posting and researching missing payments. The Revenue Cycle Account Receivables Analyst functions as a subject matter expert in small size projects and works to create a positive, constructive, and supportive working environment.
This position will work with other internal Finance team members, Department Administrators & Managers, and Operations Teams, third party billing vendors and internal/external customers.

ESSENTIAL FUNCTIONS:

• Provide support to all revenue generating departments on cash related issues in collaboration with departmental stakeholders, Revenue Cycle teams and Finance.
• Perform month end tasks including, but not limited to, reconciliation, resolving issues, monitoring and clearing work queues, and payment posting.
• Partner with management by raising issues, working to understand the root cause, and offering potential solutions.
• Serves as a cash processing subject matter expert to internal and external team members.
• With Manager oversight, develop work plans and lead project timelines for small initiatives to complete assigned projects in the most timely and efficient manner possible.
• Responsible for the compilation and distribution of reconciliation reporting for assigned areas, as needed.
• Collaborates effectively with diverse groups of people and various service departments throughout the organization.
• Identifies trends and performs root cause analysis on the cash reconciliation processes, as well as other departmental policies.
• Based on cash processing issues, research, and recommends process improvements, which includes writing procedures, training, and monitoring the new process.
• Responsible for coordinating cash service communication among the professional billing office, practices, and billing vendors, as needed.
• Serves as liaison for professional cash management to the Manager, to compound trends, issues, and payer-related changes.
• Assists the Manager in identifying and resolving reconciliation variances. Monitors daily variance reports to drive sustained performance and reduced cash posting lag time.
• Works in collaboration with team members throughout the organization to coordinate audit schedules and prepares data requests for internal and external audit teams. Acts as liaison to auditors to address audit questions additional data requests.
• Performs other duties as directed or assigned.

OTHER RESPONSIBILITIES:

• Provide excellent customer service while taking inbound calls and assisting patients with requests and billing questions
• Maintains patient confidentiality and rights.
• Notifying manager of any issues that impede efficient & effective outcome of work
• Following all policies and procedures as outlined by the company, governmental
  regulations, and HIPAA standards
• Maintains professional appearance and conduct at all times.
• Uses PTO appropriately

EDUCATION, EXPERIENCE, AND SKILLS REQUIRED:

• High School Diploma or General Education Degree (GED) required
• Past performance shows solid evidence of insurance qualifications and guidelines
• Knowledge of telephone etiquette and adequate oral and written communication skills
• Shows effective multitasking skills
• Positive and cooperative attitude in working and communicating with individuals at all levels of the organization
• Knowledge of medical field preferred specifically Home Infusion experience.
• 7 years plus previous experience billing insurance

• Strong oral and written communications skills – Knowledge of Microsoft Office required
• Familiarity processing correspondence with adherence to HIPPA guidelines
• Use of Microsoft platforms (word, excel email etc)
• Expert understanding of medical terms, denial codes/messages, and general billing process

SUPERVISORY RESPONSIBILITIES:

None assigned

PHYSICAL AND ENVIRONMENTAL REQUIREMENTS:

Standard office setting with minimal noise levels.

BENEFITS:

We offer competitive pay and generous paid time off along with:

• Health Insurance
• Dental
• Vision
• Life Insurance
• Long- and Short-term disability
• Retirement plan with match after 1 year of employment
• Free SAMS club membership