Employee and Occupational Health Representative

Franciscan Alliance, Inc.

7d•Remote

About The Position

The Employee/Occ Health Representative is responsible for managing client relations, a variety of employee health duties, various occupational health program activities, revenue cycle activities, client account reconciliation, client management meetings, maintaining client issues list, understanding various client/vendor processes for account follow-up and proposing relevant programs. This position reviews reported Client or account issues, and works proactively with appropriate clients, Hospital Departments/vendor, FAIS and ABO/CBO team members for timely resolution of the issue. WHO WE ARE With 11 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Hours/Days: Monday-Friday, 7:30a – 4p Work from home, small department with 1:1 training Ensures compliance with all state and federal billing regulations; reports any suspected compliance issues to management. Executes client specific process flows and adheres to timelines for various follow-up processes. Maintains a client issues list for review and resolution with the appropriate Hospital departments. Assists with the case management under FA worker’s compensation program, new hire and transfer physicals, EAP, random drug testing program, and the annual employee health surveillance. Maintain the client base for Franciscan Working Well, and develop positive client relationships, marketing the programs service. Perform activities relevant to establishing an efficient revenue cycle in addition to monitoring our aging reports in conjunction with our billing service. Submit CMV Driver examination reports on the National Registry of Certified Medical Examiners website by fulfilling the duties of a medical examiner’s administrative assistant. Maintains follow-up procedures and working relationships with area responsible for the information including the Medical Records Department, Patient Access, or physicians. Manages assigned vendor inventory, ensuring accuracy and compliance with contractual agreements. Performs at least 10 account audits monthly for each specific line of vendor business. Performs periodic audits of contractual adjustments from vendor staff. Processes and follows up on work denials and adjustments submitted by the vendor. Reviews daily Recon reports.

Requirements

High School Diploma/GED
1 year Patient Accounting experience

Nice To Haves

Associate's Degree
Personal Financial Specialist (PFS)

Responsibilities

Managing client relations
Performing a variety of employee health duties
Managing various occupational health program activities
Handling revenue cycle activities
Reconciling client accounts
Participating in client management meetings
Maintaining a client issues list
Understanding client/vendor processes for account follow-up
Proposing relevant programs
Reviewing reported client or account issues
Working proactively with clients, Hospital Departments/vendor, FAIS and ABO/CBO team members for timely issue resolution
Ensuring compliance with all state and federal billing regulations
Reporting suspected compliance issues to management
Executing client-specific process flows and adhering to timelines for various follow-up processes
Assisting with case management under FA worker’s compensation program
Assisting with new hire and transfer physicals
Assisting with EAP
Assisting with random drug testing program
Assisting with the annual employee health surveillance
Maintaining the client base for Franciscan Working Well
Developing positive client relationships and marketing program services
Performing activities relevant to establishing an efficient revenue cycle
Monitoring aging reports in conjunction with the billing service
Submitting CMV Driver examination reports on the National Registry of Certified Medical Examiners website
Maintaining follow-up procedures and working relationships with departments responsible for information (Medical Records, Patient Access, physicians)
Managing assigned vendor inventory, ensuring accuracy and compliance with contractual agreements
Performing at least 10 account audits monthly for each specific line of vendor business
Performing periodic audits of contractual adjustments from vendor staff
Processing and following up on work denials and adjustments submitted by the vendor
Reviewing daily Recon reports