Patient Accounts Analyst I

Community Health Systems • Franklin, TN • 6h ago

Job Summary

The Patient Accounts Analyst - Independent Dispute Resolution (IDR) 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 - IDR also tracks, reviews, and reports on billing metrics and trends, providing insights to improve revenue cycle processes.

As a Patient Accounts Analyst - IDR at Community Health Systems (CHS) - Physician Practice Support Inc. (PPSI), you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team 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 revenue 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 contracts 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 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

1-2 years of experience in medical billing, patient accounts, insurance claims processing, or revenue 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 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. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well 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.

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.

Similar Jobs

[Remote] Principal Data Scientist - Oracle Health AI

Oracle • Nashville, TN • 2h ago

Hospital & Medical

Job Description At Oracle Health, we are pioneering AI solutions that redefine healthcare intelligence. As a Lead Data Scientist, you will guide teams in building and operationalizing advanced Generative AI and ML models...

2h ago

Go to Apply

Home Health Facility Licensure & Regulatory Compliance Analyst

CenterWell • Nashville, TN • 3h ago

Hospital & Medical

Become a part of our caring community and help us put health first We are seeking a detail-oriented and experienced Home Health Facility Licensure & Regulatory Compliance Analyst to join our team. The successful cand...

3h ago

Go to Apply

Research Nurse II

Veterans Affairs, Veterans Health Administration • Nashville, TN • 6h ago

Hospital & Medical

Summary The Nashville VA Medical Center is seeking a highly motivated and experienced Registered Nurse to serve as a Research Nurse within the Research and Development Service. The incumbent will play a critical role in...

6h ago

Go to Apply

Sr. Manager, Medical Distribution Account Marketing

Cardinal Health • Nashville, TN • 8h ago

Hospital & Medical

What Product or Services Marketing Contributes to Cardinal Health Marketing is responsible for assessing customer needs, market conditions, and competition to inform business strategy. It implements the strategy by devel...

8h ago

Go to Apply

Operations Manager, Access Patient and Support

Cardinal Health • Nashville, TN • 17h ago

Hospital & Medical

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so patients can access, afford, and remain on the therapies they need for a better quality of life....

17h ago

Go to Apply

Access and Patient Support: Case Manager

Cardinal Health • Nashville, TN • 1d ago

Hospital & Medical

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life...

1d ago

Go to Apply

Registered Nurse (RN)

Green Hills Center for Rehabilitation and Healing • Nashville, TN • 1d ago

Hospital & Medical

Registered Nurse (RN) - Up To $41.75/Hour Registered Nurse (RN) Tired of the same old nursing home routine? We are taking a very fresh approach to skilled nursing. We have 12 hour shifts available days or nights. We offe...

1d ago

Go to Apply

Registered Nurse - Neurology

Ascension Health • Nashville, TN • 1d ago

Hospital & Medical

Details Sign-On Bonus: up to $12,000 available Department: Neurology Unit Schedule: Full Time; Days (6:30am - 7:00pm) Hospital: Ascension Saint Thomas Midtown Location: Nashville, TN The 6 String Neurology/Stroke unit is...

1d ago

Go to Apply

Account Executive, Surgery Ultrasound (CO, AZ, UT, NM Region)

Fujifilm • Nashville, TN • 2d ago

Hospital & Medical

Position Overview This position is intended to sell Ultrasound imaging systems, options, and service contracts to prospective and existing customers in their assigned territory. Company Overview At FUJIFILM Healthcare Am...

2d ago

Go to Apply

Health Information Specialist I

Datavant • Nashville, TN • 2d ago

Hospital & Medical

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is power...

2d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.