GENERAL SUMMARY :
Performs functions as necessary to complete and manage the agency’s revenue cycle and general operations. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
ESSENTIAL FUNCTIONS :
- Prepares and facilitates monthly billing to all payors including fiscal intermediaries within timely filing requirements.
- Completes insurance verification and authorization for services as indicated per individual program and insurance requirements.
- Transmission of required data to vendors as directed per CMS regulations.
- Completes pre-billing audits, pre and post month end reports.
- Reconciles accounts receivables and provides reports to HRMC Accounting.
- Maintains a knowledge base of the patient / significant others’ rights as well as the legal issues in all aspects of the billing / collection process.
- Completes investigation and follow through on outstanding and unpaid claims.
- Completes preparation of journal entries, review of the coding of invoices, accounts analysis and reconciliation, etc., as necessary or instructed.
- Assists in general office duties and back up duties for agency clerical staff is indicated to ensure operation tasks are completed timely and that patient and staff needs are met.
- Assists with various report preparation and data collection and abstraction to support administrative and quality functions.
- Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
- Abides by the Health Insurance Portability and Accountability privacy and security regulations regarding all aspects of Protected Health Information (PHI).
MINIMUM KNOWLEDGE AND SKILLS REQUIRED :
- Knowledge of collection techniques and accounts receivable maintenance.
- Basic knowledge of Medicare, Medicaid, and commercial insurance.
- Demonstrated ability to communicate effectively.
- Strong Computer and calculator skills
- Ability to utilize Microsoft Office software especially Excel.
PREFERRED KNOWLEDGE AND SKILLS REQUIRED :
Knowledge of the principles of accounting
REQUIRED BEHAVIORAL SKILLS :
Integrity : A personal presence which is characterized by a sense of honesty and the willingness to do the right thing.
The ability to role model, inspire and motivate others to promote the philosophy, mission, vision, goals and values of Hutchinson Regional Healthcare System.
Compassion : A personal presence which is characterized by a sense of caring that is reflected in a high level of empathy and customer service with all that we come in contact.
Ability to manage conflict, consider other points of view, and offer alternative solutions without jeopardizing overall project direction and the ability to manage customer expectations.
- Accountability : Demonstrated track record of ownership of situations, projects and issues.Able to work autonomously and have a high degree of flexibility to adapt to changing projects, priorities and work volumes.
- Respect : Demonstrated ability to collaborate with a diverse population.Treat all internal and external customers with a positive, proactive service orientation.
- Excellence : Strong communication and presentation skills with a proven ability to influence and lead teams to conclusion / decision making.
Proven ability to think strategically but also must be able to lead day-to-day tactical processes.Demonstrated ability to manage and provide coaching and leadership on complex projects.
Must be able to lead and / or facilitate process improvement.
MINIMUM EDUCATION AND EXPERIENCE REQUIRED :
- Previous experience in health care third party coordination preferably in a home care, hospice, or similar environment.
- Medical Billing experience.
PREFERRED EDUCATION AND EXPERIENCE :
- Associates in Business with emphasis in accounting
- Additional accounting, coding, and medical terminology education.
- Relevant public accounting, or medical billing experience
REQUIRED LICENSE / REGISTRATION / CERTIFICATION :
- Valid State of Kansas driver’s license
- Proof of auto liability insurance in the State of Kansas
PREFERRED LICENSE / REGISTRATION / CERTIFICATION :
We offer competitive pay, a generous benefit package and a reason to be proud of what you do, every day.
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