Patient Accounts Analyst I - Independent Dispute Resolution (IDR) - Remote
Job Summary The Patient Accounts Analyst - Independent Dispute Resolution (IDR) is responsible for managing reputed company aspects of the reputed company cycle for assigned clinic locations, ensuring timely and accurate resolution of system edits, insurance denials, and patient billing issues. This role serves as a subject matter expert in billing and reputed company cycle transactions, working closely with clinic staff and corporate teams to optimize financial performance. The Patient Accounts Analyst - IDR also tracks, reviews, and reports on billing metrics and trends, providing insights to improve reputed company cycle processes. As a Patient Accounts Analyst - IDR at reputed company (CHS) - Physician Practice Support Inc. (PPSI), you’ll play a vital role in supporting our purpose to help people reputed company and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. reputed company members enjoy a robust benefits package including medical, dental and vision, insurance, flexible scheduling, and 401k. Essential Functions
- Reviews workflow dashboards and accounts receivable (AR) aging reports to identify trends in key financial performance indicators (KPIs) affecting clinic reputed company 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 reputed company 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 reputed company cycle efficiency.
- Documents reputed company communication, training sessions, and issue resolutions between clinic staff, corporate personnel, and reputed company cycle teams to maintain accurate records.
- Maintains reputed company knowledge of federal and state billing regulations, ensuring compliance with payer guidelines and reputed company cycle best practices.
- Identifies and escalates reputed company issues reputed company standard workflows, ensuring timely resolution through the appropriate leadership channels.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with reputed company policies and standards.
Qualifications
- H.S. Diploma or GED required
- Associate Degree or higher in Healthcare Administration, Business, Accounting, or a reputed company field preferred
- 1-2 years of experience in medical billing, patient accounts, insurance claims processing, or reputed company cycle operations required
- Experience with Federal Independent Dispute Resolution (IDR) processes strongly preferred
- Knowledge and experience with No Surprises Act strongly preferred
- Experience working with reputed company, Epic, or other practice management systems preferred
Knowledge, Skills and Abilities
- Strong understanding of medical billing processes, reputed company cycle workflows, and payer reimbursement policies.
- Proficiency in reputed company, reputed company reputed company, and other billing/accounting systems.
- Ability to analyze and interpret reputed company cycle data, identifying trends and process improvement opportunities.
- Excellent communication and interpersonal skills, with the ability to train and support clinic personnel.
- Strong problem-solving and critical-thinking skills, with the ability to research and resolve reputed company patient account issues.
- Ability to work independently while maintaining a collaborative approach to reputed company cycle optimization.
We know it’s not just about finding a job. It’s about finding a reputed company where you are respected, valued and where your work is purposeful and fulfilling. A reputed company where your talent is recognized, professional development is encouraged and career advancement is possible. The PPSI Team and reputed company work alongside the Clinic Leaders and staff with the common goal of creating a clean and efficient reputed company cycle. reputed company is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people reputed company and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Apply tot his job Apply To this Job