Job Description
Salary: 20.46-30.70 USD
Facility: Administrative Regional Training Cntr
Shift: Shift 1
Status: Full Time FTE: 1.000000
Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: No
Work Schedule: Days
Hours:
8:00am-4:00pm
Summary:
The Revenue Management Center supports the revenue cycle for all of the acute care sites and related departments, service lines and business units organized within Mercy Hospital, Sisters of Charity Hospital including the St. Joseph Campus, Mount St. Mary's Hospital and Kenmore Mercy Hospital as well as the Nursing Home Long Term Care, Sub-Acute Rehab facilities, CHIP, Retail/Oral Pharmacy and Home Care.
The position will support the Catholic Health Infusion Pharmacy, Retail/Oral Pharmacy and Home Care and has responsibility for ensuring all patient encounters are followed up on and collected within the designated timeframe. Additionally, all collection efforts must be in compliance with federal, state and contracted payer requirements and regulations as well as the standards established by Catholic Health. Responsibilities will include, but are not limited to, the following: (1) Ensuring all patient encounters are followed up on within the designated timeframe, (2) Appropriate levels of engagement with the insurance company, state or federal agency, or patient/resident to ensure timely collection for services rendered, (3) Review of all work lists to identify accounts that are aging beyond established thresholds and/or require follow up action based on a payer denial. (4) Active engagement and processing of denied claims or other rebill efforts for follow up or escalation to ensure payment. A high level of customer service is expected in this role at Catholic Health.
Responsibilities:
EDUCATION
- High School diploma with two (2) - five (5) years of experience in billing or Associates Degree in Business or Accounting
EXPERIENCE
- Minimum two (2) years of experience in computer related tasks or operation of a computer
- Specialized experience such as medical claim billing, long term care and/or infusion pharmacy billing preferred
KNOWLEDGE, SKILL AND ABILITY
- Understands and practices the ethical, professional and legal obligations of the Catholic Health Corporate Compliance Program
- Excellent written communication, organization and problem solving skills
- Detail oriented
- Able to work as part of a team and interact with other departments
- Knowledge of general office equipment operations and supplies
- Understands and maintains the CONFIDENTIAL nature of the information handled and discussed
- Organized and able to work independently
WORKING CONDITIONS:
- Office setting
- May be required to work overtime, holidays or weekends as needed
