Senior Financial Analyst

About Bradford Health Services

Bradford Health Services is an industry leader in providing hope and healing to people with substance use addiction and associated co-occurring disorders. We currently have immediate openings for the Accounts Receivable Insurance Collection position. We are looking for someone with a solid background in billing and insurance in a health care setting, Customer Service oriented, all while maintaining confidentiality. Take a step forward in your career with Bradford Health Services.

Position Details

• Position Title: Accounts Receivable Collector
• Department: Fiscal Services
• Reports To: Revenue Cycle Operations Manager
• Supervises: N/A

Position Summary

The Accounts Receivable Collector is responsible for the comprehensive follow-up and resolution of aged healthcare accounts receivable. This includes managing payer denials, conducting detailed account reviews, and ensuring the timely and accurate resolution of outstanding balances. The position requires a strong focus on problem-solving, attention to detail, and the ability to work collaboratively with internal and external stakeholders while maintaining a high level of professionalism and compliance with confidentiality standards.

Qualifications

Education:

• High School diploma or GED equivalent required.

Experience:

• Minimum of one (1) year of experience in healthcare billing and collections, including working knowledge of payer requirements, insurance denials, and electronic health record systems.

Skills:

• Proficiency in typing (minimum 50 wpm) and data entry with high accuracy.
• Strong organizational and time management skills.
• Effective communication skills, both verbal and written.
• Ability to work independently with minimal supervision.

Technical Requirements:

• Familiarity with billing software, electronic claims submission, and Microsoft Office Suite.

Physical Requirements:

• Ability to sit for extended periods (up to 7 hours per 8-hour shift) and to see and hear with or without correction.

Additional Requirements:

• If applicable, two years of continuous, verifiable abstinence for individuals in recovery.

Essential Functions

Accounts Receivable Management

• Perform follow-up on aged accounts receivable to ensure timely resolution of balances.
• Review and analyze payer denials, identify trends, and take corrective action as needed.
• Conduct thorough reviews of patient accounts during the follow-up process to ensure accuracy and completeness of billing.

Claim Submission and Monitoring

• Submit accurate and complete claims to insurance companies within one (1) business day of creation.
• Track and follow up on outstanding claims within 14 days of submission and at regular intervals thereafter until resolution.

Patient Account Management

• Communicate with patients regarding outstanding balances and establish payment arrangements when appropriate.
• Follow up on patient account balances within 30 days of statement mailing and regularly thereafter until resolution.

Documentation and Reporting

• Maintain accurate and up-to-date collection notes in the electronic system in compliance with organizational policies.
• Provide regular updates to the Revenue Cycle Operations Manager and other stakeholders regarding account activity and escalations.

Collaboration and Communication

• Serve as a professional point of contact for internal and external stakeholders, including insurance companies, patients, and third-party vendors.
• Escalate unresolved or complex issues to the appropriate supervisor in a timely manner.

Compliance and Confidentiality

• Adhere to the provisions of 42 CFR Part 2 (Confidentiality of Alcohol and Drug Abuse Patient Records) and 45 CFR (HIPAA).
• Ensure all credit information and patient account details remain confidential.

Customer Service

• Provide courteous and professional assistance to patients, families, and payer representatives.
• Foster positive working relationships with colleagues, managers, and external contacts.

Additional Duties

• Review and recommend accounts for outside collection when necessary.
• Participate in training and professional development activities as required.
• Perform other duties as assigned to support the team and organizational goals.

Core Competencies

• Problem-solving and critical thinking.
• Accuracy and attention to detail.
• Knowledge of insurance billing practices and healthcare regulations.
• Ability to work in a cooperative and collaborative manner.
• Strong ethical standards and commitment to maintaining confidentiality.

Work Environment and Expectations

• Maintain regular attendance and punctuality.
• Work in a fast-paced, deadline-driven environment.
• Ability to remain alert and focused to perform duties safely and effectively.