• Patient Financial Services EDI Analyst PBO

    Job Number
    222941
    Facility
    Banner Health - Western Region
    Department
    Banner Health - Western Region - Emp Benefits Costs-Shared Svcs
    Street Address
    1801 16th Street
    City & State
    US-CO-Greeley
    Shift
    Day
    Position Type
    FT: Full-Time
    Posting Category
    Billing / Registration / Scheduling
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    About Banner Health - Western Region
    Whether you are seeking a clinical or non-clinical career, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. Banner Health's Western Region consists of facilities that offer comprehensive care in friendly, small-town environments. With Banner Health Western Region you get a unique combination of the latest technology at your workplace and relaxed living.

     

    Truven-2013
    Stage7-2013

    About Banner Health
    Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

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    Job Summary

    This position oversees the daily automated billing and posting job streams within assigned departments; identifies errors and exceptions, trouble-shoots and corrects errors, entailing posting and reconciliation of transactions.

     

    Essential Functions

    • Monitors daily translation and transmission of electronic billing claims and printing of UB92, UB04, HCFA 1500 and CMS 1500 claim forms, including identifying and correcting errors, and ensuring balancing of all activities by extracting crucial data elements and performing analysis on results.

     

    • Obtains and prepares and posts daily, weekly and monthly payment and adjustment transactions using the electronic posting program. Identifies errors and exceptions, researches, corrects and posts to appropriate accounts with adequate documentation. Ensures all transactions balance and identify and correct errors.

     

    • Researches and evaluates third party claims companys' edits and modifications with payer units to validate appropriateness for Banner Health billing processes. Validates compatibility of new or requested edits with existing billing processes and procedures.

     

    • Researches, implements and tests new lines of electronic billing and posting. Participates in new software setup requiring engagement of other Banner departments, vendor contacts, and internal reviewers.

     

    • Utilizes multiple systems and/or programs to provide statistical data in support of issues list(s) provided to payers and internal customers/management.

     

    • Maintains an accurate and low balance in claims billing system and General Ledger holding accounts for irreconcilable transactions. This entails contacting possible recipients, researching payment documentation, reviewing patient accounting system, contacting finance department, reviewing GL transactions, and participating as needed in bank account reconciliations.

     

    • May provide training to other staff, provide feedback to improve processes, and work on special projects. May function as a project/or process lead within the unit.

     

     

    Minimum Qualifications

    High school diploma or equivalent required. Requires knowledge normally evidenced by advanced education in accounting or information systems.

    Equivalent experience typically obtained through four or more years of work experience in a financial services or patient account management environment with a broad understanding of patient billing and patient accounting systems.Position requires expert analytical skills. Applicant must have the ability to test, document and implement new application programs over various hardware platforms. Requires the ability to analyze and effectively recognize system problems. Excellent follow through needed to resolve system application issues within a timely manner. Ability to gather and analyze data elements from automated systems to troubleshoot and resolve data or application errors. Must have the ability to plan and organize large data sets. Must have the ability to interact with Banners Information Technology staff and guide them to technical solutions for system issues. Requires knowledge of medical terminology and an understanding of the laws associated with confidentiality, credits and collections. Effective communication skills, both verbal and written, and human relations skills are required.

    Preferred Qualifications

    Bachelors degree in Accounting, Finance, or Information Technology is preferred.

    Additional related education and/or experience preferred.

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