Financial Analyst - Jamison Professional Services, Inc. (JPS)

Jamison Professional Services, Inc. (“Jamison”) is currently seeking a qualified and motivated candidate for the position of Financial Analyst.

JOB TITLE: Financial Analyst – Bethesda, MD

DUTIES & RESPONSIBILITIES:

This position shall provide the following services:

• Process Medical Accounts Receivables by maintaining ledgers, compiling, consolidating, checking and arranging funding data.
• Generate and submit medical claims to insurance companies ensuring all set rules, regulations, and/or procedures are adhered to.
• Strategies, policies and procedures will be developed for Government review and approval.
• Train contractor staff members upon government request on accounting, budgeting, third party collections or other financial programs required.
• Maintain account receivable records, claims, billing receipts and history files.
• Develop and maintain tickler files for tracking delinquent accounts receivables.
• Track and process all overdue Medical Accounts Receivables.
• Prepare letters to organizations to request payment on delinquent Medical Accounts Receivables
• Develop a process to track and maintain a file of these letters and the result collections.
• Provide guidance to internal and external contacts and insurers regarding questions concerning patient medical claims.
• Act as point of contact between private insurance companies regarding Accounts Receivables actions. 18 DHA PWS Template V13 November 16, 2021
• Research, extract and summarize reimbursable information, submitting all reports to the government.
• Post, examine, balance, and extract data from records to prepare reports.
• Examine documents for accuracy, adequacy of documentation, and compliance with regulation for timely collection of third party insurance accounts.
• Screen and review information to ensure documentation requirements for medical records are met.
• Provide any documentation of appropriate action
• Perform a quantitative review of the medical record for completeness ensuring that everything that is supposed to be there is present, signed and dated to include the occurrences screening checklist.
• Retrieves medical records and other data for research projects and for diagnostic, training or review purpose.
• Answer telephone inquiries from within WRNMMC regarding patient status, admissions dispositions, length of convalescence and transfer status.
• Contractor staff members will be trained as needed on accounting, budgeting, third party collections or other financial programs as required.
• Submit inpatient and outpatient claims, reviewing inpatient and outpatient claims, making follow-up calls as necessary.
• Collect, organize and prioritize data, files and claims in a timely manner.
• File claims appropriately stamping correct code on inpatient and outpatient claims.
• File claims appropriately stamping correct codes on inpatient and outpatient claims.
• Pre-cert all inpatient and APV claims within 48 hrs.
• Work together with the Utilization Review nurse for clarity information on patient stay.
• Train new employees on the billing system.
• Print UB-04 and CMS 1500 forms to resubmit claims to the insurance companies cc)
• Electronic sent claims daily to the insurance companies using the billing system.
• Screen and review information to documentation requirements for medical records are met. Provide any documentation of appropriate action.
• Coordinate the performance and daily distribution of identification and collection of Other Health Insurance (OHI) patient information for all billable clinics that support the Uniform Business Office (UBO) revenue generation for WRNMMC.
• May Communicate with Administrative coordinators throughout the hospital on Outpatient Itemizes Billing (OIB) procedures to ensure that optimal reimbursement is attained for their respective.
• Train clinics personnel on the proper procedure use of the DD-2569 forms
• Educating and training others (patients' clinical staff members, managers) on the importance of the OHI program regarding the patient's DD 2569 forms.
• Train others in utilizing the installed clinic scanners (which scan the patients' insurance card).
• 19 DHA PWS Template V13 November 16, 2021.
• Aggressively follow-up with third party payer on billed claims that are more than 30, 60, 90 and 120 days or more to ensure payment is received for insurance carriers on claims in a timely manner.
• Reconciling accounts accurately in a timely manner in ARMS PRO/General Ledger according to the UBO guidelines and the patients' specific health benefits policy.

QUALIFICATIONS:

• Must have a minimum of 2–3 years’ experience with standard office financial and administrative functions with excellent verbal and writing skills. Must have a High School Diploma, or associate degree or higher
• Per the JTF National Capital Region Medical Directive 1025.02 contractor personnel shall have all maintain evidence of AHA Hear saver AED or equivalent training Basic knowledge of medical terminology.
• Demonstrate advanced proficiency in computer network system and all Microsoft Office applications.
• Ability to use general office equipment including telephone, fax, copier, etc. Customer service expertise.
• Skill to communicate orally and in writing to collaborate with the third party insurers in obtaining pre-certification, avoid assessment of penalties, and reach agreement on insurance coverage parameters.
• Ability to use automated systems effectively Familiarity with a variety of the medical field's concepts, practices and procedures.
• Complete HIPAA training within 30 days of working under task order and annually thereafter. Basic understanding of accounting systems, policies, and procedures. General knowledge of reimbursable patient accounting practices.
• Ability to work accurately with figures.
• The Contractor must have ability to work accurately with figures.
• Knowledge of or the ability to learn and function within, the medical systems in use at the site (CHCS, ADS, ARMS PRO, etc.).
• Knowledge of insurance plans and their terminology (example: HMO's vs TPA and PPO plans).
• Knowledge of or the ability to learn and adhere to, DoD instructions, DHA regulations, and policies regarding Third Party Collections.
• Familiarity with NDC, CPT, and ICD-9/ICD-10 codes and applicable coding guidelines.
• Thorough familiarity with health insurance industry practices regarding claims processing and EOB content
• Ability to interact professionally and courteously with beneficiaries and hospital staff.

PRIMARY PLACE OF PERFORMANCE:

Walter Reed National Military Medical Center

8901 Rockville Pike,

Bethesda, Maryland 20889.
 

ANTICIPATED DUTY HOURS:

Monday - Friday 0600 - 1600 with a 1- hour unpaid lunch.

JAMISON CORPORATE OVERVIEW:

Jamison Professional Services, Inc. (Jamison) is a Service-Disabled, Veteran-Owned Small Business (SDVOSB), certified Minority Business Enterprise (MBE) headquartered in metropolitan Atlanta, Georgia. We specialize in providing professional management, administrative, healthcare, court reporters and transcriptionist experts, and document/ record and telehealth operational support solutions to U.S. Government, State, and commercial clients. Jamison is a nationwide professional staff augmentation company, that helps commercial clients and government agencies expand their talent acquisition reach by sourcing, assessing, developing, and managing the talent that enables them to be successful.

Jamison offers a wide range of employment opportunities in the commercial and government sectors. We seek employees who share our values of service excellence, integrity, and professionalism.

Jamison affords equal employment opportunity to all individuals, regardless of race, creed, color, religion, gender, national origin, ancestry, age, marital status, veteran status, disability, medical condition, gender identity, or sexual orientation. Our employees, as well as applicants and others with whom we do business, will not be subjected to sexual, racial, religious, ethnic, or any other form of unlawful harassment and/or discrimination. In addition, Jamison adheres to the equal employment opportunity requirements of all states and localities in which it does business.

Jamison’s commitment to equal opportunity is applied through every aspect of the employment relationship, including, but not limited to, recruitment, selection, placement, training, compensation, promotion, transfer, termination, and all other matters of employment.

Applicants may be required to successfully complete an online assessment to determine qualifications for positions requiring specific skills.

All applications must be submitted through our application system at: https://www.jps-online.com/apply-now/