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Named among "Great Places to Work" by Becker's Hospital Review Career Growth Opportunities Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment 401K program (Discretionary matching funds available) Employee Assistance Program Dental plans & Vision plans GENEROUS Personal time off Eight Paid Holidays per year Quarterly incentive plans Training Programs Wellness programs This position is an on-site role at St. Vincent Hospital 123 Summer St, Worcester, MA 01608.
JOB DESCRIPTION OVERVIEW:
This position is responsible for maintaining multiple paper or electronic system of obtaining, reconciling and forwarding the required documents to the Billing Center workflow. The individual in this position is required to perform to productivity standards and is also charged with proactively reviewing front end processes in order to eliminate or reduce registration errors and claim denials.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Demonstrate knowledge of TeamHealth service orientation and associated behaviors that are consistent with the TeamHealth mission statement. Collect all necessary billing documents and reconcile billing documents to the daily logs/schedules. Process documents (paper or electronic) within Team Health designated timeframes, as established by management. Coordinate obtaining additional clinical information needed from clinicians on missing or incomplete charts. Work closely with various hospital departments, Physicians, and CRNA's to recover missing or incomplete charts and obtain documentation necessary for billing. Access hospital information systems, or work with facility representatives to procure missing demographic and insurance data and/or to reconcile inconsistent registration data elements to facilitate efficient billing. Initiate proactive communication with the Billing Center, the Client Services Manager, Medical Director, Regional Medical Director, and the facility to resolve issues that impede effective chart management processes. Alert the Site Coordinator Manager and seek assistance when an activity may require deviation from established policies, procedures, guidelines, and/or protocols. Responsible for notifying Site Coordinator of coverage needs at the facility and of any batching issues. Participate in design, implementation, and evaluation of performance improvement activities and efforts. Maintains personal adherence to professional confidentiality standards established within the department and in accordance with legal, ethical and hospital standards (ex: HIPAA compliance). Maintains professional appearance. Maintains consistent schedule as established. Submits paper or electronic (Kronos) timesheets within established time frame. Other duties as assigned by the Site Coordinator Manager.
QUALIFICATIONS / EXPERIENCE: High school diploma or equivalent required; One year of office experience preferred with previous experience in medical billing, hospital or clinic registration, or other medical office experience preferred; Critical thinking skills required to examine registration and clinical documentation; Ability to develop and maintain positive working relationships; Excellent communication skills (verbal and written); Advanced computer skills; Adaptable with the ability to learn proprietary applications and new software programs. Excellent organizational skills; Detailed oriented and efficient with time management; Ability to work independently.
PHYSICAL / ENVIRONMENTAL DEMANDS: Job performed in a well-lit work area; Occasional lifting/carrying (10 pounds or less); Prolonged sitting; Prolonged standing; Prolonged work on a photocopier, scanner, fax, and PC; Occasional telephone work.
This position requires manual dexterity and/or frequent use of the computer
(keyboarding and mouse usage), telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.
