Financial Analyst/ (Entry-Level) Walter Reed Medical Center (Hybrid)

Job Title: Financial Analyst/ (Entry-Level) Walter Reed Medical Center (Hybrid)

Location: WRNMMC - Bethesda, MD

Contract: Contractor

Period of Performance: Full-time position (contract open until 2024)

Start Date: Open

Additional: This position is a full-time onsite until the completion of training and thereafter the department determines a hybrid schedule.

Salary: $21.47 per hour + $4.41 health & welfare allowance= $25.91 per hour

Clearance Requirement: Must be able to pass a NACI background check/ still checking for background clearance requirements.

Preference: Must have a High School Diploma, Associate Degree, or higher/ preferred BA Degree, and must have a minimum of 2–3 years of experience with standard office financial and administrative functions, especially in the medical field.

Note: The Ravens Group, Inc. requests that all interested parties complete the attached questionnaire to be considered for this position.

Job Description/ Financial Analyst (Entry-Level):

Financial Analyst, or Accounting Analyst, studies a company’s financial data to give advice for guiding business investments and overall financial strategy. Their duties include predicting the return on investment for different stocks and business ventures, writing financial reports, and collecting industry research to inform decision-making.

Functional Responsibility:

• 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.
• 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.
• Guide 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.
• 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 regulations 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 diagnostic, training, or review purposes.
• 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 promptly.
• 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 hours.
• 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 itemized billing (OIB) procedures to ensure that optimal reimbursement is attained for their respective.
• Train clinic 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 cards).
• Aggressively follow up with third-party payers 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 promptly.
• Reconciling accounts accurately and promptly in ARMS PRO/General Ledger according to the UBO guidelines and the patient’s 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, the candidate shall have all maintained evidence of AHA Hear saver AED or equivalent training.
• Basic knowledge of medical terminology.
• Demonstrate advanced proficiency in computer network systems 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 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 candidate must have the 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 (for example: HMOs 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.

This position is a full-time onsite until the completion of training and thereafter the department determines a hybrid schedule.

The Ravens Group is an "equal opportunity employer/veteran/disability" organization.