Patient Accounts Analyst I - Remote
Role Overview
The Patient Accounts Analyst I is responsible for managing all aspects of the revenue 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 revenue cycle transactions, working closely with clinic staff and corporate teams to optimize financial performance. The Patient Accounts Analyst I also tracks, reviews, and reports on billing metrics and trends, providing insights to improve revenue cycle processes. Essential Functions
Reviews workflow dashboards and accounts receivable (AR) aging reports to identify trends in key financial performance indicators (KPIs) affecting clinic revenue cycle outcomes.
Researches and resolves billing delays, insurance denials, and payment discrepancies, ensuring timely submission and payment of accounts.
Develops and presents end of month AR reporting for multiple sites.
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.
Key Skills for This Role
Full Job Posting
Job Summary
The Patient Accounts Analyst I is responsible for managing all aspects of the revenue 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 revenue cycle transactions, working closely with clinic staff and corporate teams to optimize financial performance. The Patient Accounts Analyst I also tracks, reviews, and reports on billing metrics and trends, providing insights to improve revenue cycle processes. Essential Functions
Reviews workflow dashboards and accounts receivable (AR) aging reports to identify trends in key financial performance indicators (KPIs) affecting clinic revenue cycle outcomes.
Researches and resolves billing delays, insurance denials, and payment discrepancies, ensuring timely submission and payment of accounts.
Develops and presents end of month AR reporting for multiple sites.
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.
Qualifications
- H.S. Diploma or GED required
- Associate Degree or higher in Healthcare Administration, Business, Accounting, or a related field preferred
- 2+ years of experience with revenue cycle AR processes
- 1-2 years of experience in medical billing, patient accounts, insurance claims processing, or revenue cycle operations required
- Experience working with Athena, Epic, or other practice management systems preferred
Knowledge, Skills and Abilities
- Strong understanding of medical billing processes, revenue cycle workflows, and payer reimbursement policies.
- Proficiency in Athena, Microsoft Excel, and other billing/accounting systems.
- Ability to analyze and interpret revenue 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 complex patient account issues.
- Ability to work independently while maintaining a collaborative approach to revenue cycle optimization.
- We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
- The PPSI Team and Athena work alongside the Clinic Leaders and staff with the common goal of creating a clean and efficient revenue cycle.
- Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers.
About Community Health Systems
Operator of general acute care hospitals and outpatient facilities.
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