Job Responsibilities: Understands and is knowledgeable of all work role responsibilities of the Patient Account Representative. Participates in and oversees the processes relating to the charge capture, coding, charge entry and financial counseling processes, including the supervision of any assigned staff and/or resources. Works with Corporate and Department management to develop and maintain policies and procedures relating to and in support of the Department’s and Corporation’s Compliance Program for Professional Fee Reimbursement. Works with assigned staff to make sure they have appropriate access and training for the electronic and manual systems deemed necessary as part of their role. Assists in ensuring that appropriate guidelines and forms exist and are sufficient for accurate and comprehensive charge capture and coding purposes. Assists in auditing work of assigned employees to ensure accuracy. Monitors the effectiveness of charge capture and coding processes. Works to develop controls and reconciliations that assist in ensuring that all charges and performed services are captured in assigned area(s). Provides various reports, both monthly and ad-hoc, as defined and requested utilized either the practice management system or an available external reporting solution. Supports and/or supervisors the precertification process for scheduled procedures as necessary, including communication of any balances due to the patient. Researches, monitors and implements payer regulations and guidelines related to revenue cycle activities within assigned area(s). Manages assigned staff and resources accordingly, consistent with both UP&S and Departmental guidelines and expectations. EDUCATION: High School graduation or GED. LICENSE/REGISTRATION: Certified Professional Coder certification is required. Experience: Minimum of 3-5 years billing experience in a health care organization. Minimum of 1 year of supervisory experience is preferred. Working knowledge of Cerner Practice Management software is preferred. Internal applicants must call HR at ext. 11653 to determine eligibility before applying.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED