DEPARTMENT:

Patient Accounting
FTE: 80 hours per pay period / Full-time
Hours: Monday through Friday 8:00am - 4:30pm on site (with possibility of moving hybrid in the future.)
Benefit Status: Full-time

REQUIRED QUALIFICATIONS

• Associate Degree in Healthcare Field
• Three years of experience in the insurance industry

PREFERRED QUALIFICATIONS

• One year of Supervisory Experience
• Minimum of three years of experience in Hospital and Clinic billing
• EPIC experience
• Associate’s Degree

PREFERRED KNOWLEDGE, SKILLS AND ABILITIES

• Knowledge of and ability to follow the hospital policy on confidentiality, release of information, and HIPAA
• Strong skill in Microsoft Office Products and Microsoft Excel
• Ability to keep current with proposed federal and state statutes and regulatory requirements, which may impact the facility’s collections process and uncompensated care application process
• Ability to manage Change and embrace technology using Critical, independent thinking and Lead a team towards a great Patient Experience.
  Union: N

ESSENTIAL RESPONSIBILITIES

The following description of responsibilities to be performed is not intended to be all-inclusive. Rather, it focuses on the major tasks that must be accomplished.

• Ensures accuracy and timely billing is occurring in accordance with specific payer requirements.
• Monitors billing holds and coordinates needed information with other departments.
• Ensures accurate and timely billing of Insurance
• Monitors insurance credit balances
• Establishes and implements controls to ensure appropriate submission, billing, and payment cycles.
• Establishes and monitors auditing and billing office policies and procedures to ensure maximization of revenue for department. Ensures that all guidelines are followed and all corresponding reconciliation and month-end reports are completed in an accurate and timely manner. Designs and compiles periodic financial reports for management to include analysis of revenue and medical service activity.
• Keeps current on reimbursement and billing issues as well as implementing the changes in the organization’s current practices. Acquires and maintains thorough knowledge of federal and state legislative and administrative action affecting reimbursement; disseminates acquired knowledge to faculty.
• Analyzes, recommends, and implements policies and procedures as needed to maximize reimbursement for all services rendered in compliance with established third party guidelines.
• Coordinates system needs with relevant individuals.
• Delegates and monitors responsibilities at staff levels.
• Arranges for orientation and training of new employees within department.
• Develops objectives and performance standards, monitors productivity and reviews employees’ work on a periodic basis, and conducts annual performance reviews for employees within the department. • Monitors compliance with organizational and administration policies and • Resolves patient, physician, and interdepartmental concerns.
• Will become an Epic certified Trainer on HB and PB
• Will lead the HB and PB billing team, completing yearly reviews, time-cards and coaching.
• Responsible for reading monthly payer bulletins, providing education to the teams and entering in Tickets with Epic to implement billing changes
• Trends payer denials and provides necessary education
• Monitoring of Dashboards and work queues.

OTHER RESPONSIBILITIES

• Perform all other related duties as assigned in a professional and responsive manner
• Demonstrate the ability to use relevant equipment
• Support, understand, and promote Alomere Health’s mission, vision, values, policies and procedures
• Ability to meet the work schedule requirements with flexibility dependent upon the needs of the department
• Foster respectful working relationships with professional colleagues, patients, families, and general public regardless of age, gender, lifestyle, culture, beliefs, race, socioeconomic class, or ability