About The Position

Under general supervision of Patient Financial Services (PFS) Billing Manager, the Continuing Education Specialist (CES) will be responsible for assisting in the development of a formalized training and education program for Associates within the PFS Department.

Requirements

  • High School Diploma or GED
  • Minimum of three years of experience in related revenue cycle position.
  • Software skills in general office products (Microsoft Office).
  • Detailed knowledge of various third party and governmental billing regulations.
  • Ability to analyze complex billing situations.
  • Some experience in training and education.
  • Excellent communication skills (written, oral, and listening)
  • Demonstrated ability to use a keyboard as may be required to perform the essential duties of the job.

Nice To Haves

  • Associates degree, preferred

Responsibilities

  • Assist in developing and maintaining a comprehensive billing and compliance training program for PFS Team Members, both existing and new.
  • Train new and existing Team Members on accurate claims submission to all insurance carriers.
  • Analyze program memorandums and provider bulletins for necessary changes in billing procedures.
  • Develop and recommend to the Billing Manager written departmental billing policy and procedures consistent with the department compliance plan and payer regulations.
  • Assist in developing and maintaining a competency test for PFS Team Members in order to evaluate knowledge and understanding of policies, procedures, and billing compliance.
  • Attend meetings and present information to departments within the health system as required.
  • Develop and coordinate job shadowing with new PFS team members as needed
  • Attend monthly/weekly team or department meetings and present updates with PFS leadership as required.
  • Fill in, as required, for special A/R and billing projects or staff vacancies as determined by the PFS leadership.
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