Biller/Follow-Up

Full Time
Thermopolis, WY 82443
Posted
Job description

Hot Springs County Memorial Hospital

Job Description

BILLER/FOLLOW-UP

______________________________________________________________________________

DEPARTMENT: Business Office

SUPERVISOR: Business Office Director

EMPLOYEE NAME:

STATUS: Non-Exempt

APPROVED BY: Chief Financial Officer DATE: March, 2023

______________________________________________________________________________

GENERAL:

In accordance with the Hot Springs County Memorial Hospital Personnel Policy and Procedure Manual and the requirements of our accrediting bodies, the employee will: support the mission “Partnering with our community for quality health and healing”, the five core values “Ownership, Always better than yesterday, Service first, Integrity, and Stewardship of our resources (OASIS). Our behavior creates our OASIS – a place where we can find safety, sustenance, and a pleasant change from the usual. and vision

of “being the hub for the development and provision of quality health services while ensuring the viability of Hot Springs County Memorial Hospital as a valued healthcare partner in the community.”


The established priorities of Quality, Service, Finance, People, and Growth, will be utilized in decision making. Furthermore, the employee will demonstrate the ability to manage time, maintain a safe and clean environment; practice confidentiality; treat all persons with respect and professional courtesy; accept change; accept and provide constructive feedback; work as a team player and adhere to the infection control, fire and safety, disaster and hazardous waste policies. The employee must also demonstrate the competencies for their position, and adhere to policies and procedures of their department. The employee will participate in quality improvement activities.


BEHAVIORAL REQUIREMENTS:

The following is a list of minimally required behaviors to assist the employee in partnering with our community:


Ownership


Accepts responsibility for actions, attitudes and health. Doing things right the first time, every time for excellent results. Accepts ownership of mistakes and takes constructive action to avoid repeating mistakes. Works with empowerment to the highest potential both as an individual and as part of the team. Unsatisfied with the status quo or just being “good.” Contributes to an environment that encourages creative thinking. Shares ideas and opinions, and supports opportunities to learn and grow.


Always Better Than Yesterday


Performs at the highest level, always learning and looking for ways to improve, with an unwavering focus on safety. Celebrates and encourages the contributions of one another.

Constructively challenges the status quo by being flexible, adaptable and embracing change as a key element of our future success.


Service First


Doing our best every day to anticipate and exceed the expectations of patients, providers and co-workers. Understands excellence is the result of team effort. Creates legendary experiences.


Integrity


Does the right things. Consistently open, honest, trustworthy and ethical. Demonstrates respect for patients, their families, staff, providers and the community.


Stewardship of Our Resources


Strives to care wisely for our human, financial and natural resources. Strengthens HSCMH as a partner in the community.


ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Greets patients, families and visitors in a friendly, courteous manner.
  • Claim Billing from Cerner system
  • Claim Billing in Availity- including Payer Mapping and correcting errors
  • Follow-up with admitting personnel for insurance correction
  • Review Discharged Not Final Billed encounters
  • Resolve billing issues from within the department
  • Communicate with HIM for missing coding information on denied claims
  • Work Q maintenance
  • Rebill accounts when necessary.
  • Communicate with insurance company to resolve payment. (Follow Up)
  • Remain current with new billing rules and regulations through education and training

The above duties are intended to describe the key aspects of the work performed by individual(s) assigned to this position. They are not to be construed as an exhaustive listing of requirements relative to the position. Therefore, the employee may be required to perform other duties as assigned.


QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


EDUCATION and/or EXPERIENCE

The Biller/Follow Up Rep shall be:

1. High School Graduate or equivalent

2. Minimum two years hospital/medical office financial experience preferred.

3. Strong problem solving skills

4. Attention to Detail

5. Must be able to interact and communicate with all levels of staff, physicians, patients, and families in an effective manner, exhibiting tact, enthusiasm, and patience. Must be able to be sensitive to cultural and bilingual issues. Ability to work individually and in a team setting, and to respect the confidentiality of patient information being received and reviewed.

6. Demonstrate good organizational and leadership abilities

7. Microsoft Excel and Microsoft Word. Proficient in Hospital Patient Accounting

Systems.

LANGUAGE SKILLS:

Ability to read, analyze, and interpret appropriate journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to effectively present information to top management, public groups, and/or boards of directors.


MATHEMATICAL SKILLS:

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.


REASONING ABILITY:

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to modify care based on the developmental / functional age of the patient as well as that of the patient's ethnic background.


CERTIFICATES, LICENSES, REGISTRATIONS:


  • BLS

OTHER SKILLS AND ABILITIES:

Ability to act as a patient advocate. Ability to interact with patients, families, visitors and co-workers. Ability to interact assertively and tactfully when dealing with conflict and in group solving activities. Ability to demonstrate a professional, open minded approach in identifying problems and resolving problems/conflicts.


Age Specific:

This position does not require hands-on delivery of care, however, incumbent must demonstrate understanding of how a patient’s chronological and developmental age influences his/her need for adaptations related to his/her abilities.


PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


While filling this position, the employee must regularly lift and or move 10 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this position include close vision, distance, vision, color vision, peripheral vision, and depth perception. This position also requires walking or standing to a significant degree. This position also requires reaching, handling, fingering, feeling, talking, and hearing, stooping, bending, crouching, and working with equipment.


WORK ENVIRONMENT: The work environment characteristics described here are representative of those employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


The employee is subject to inside and possibly outside weather conditions. The employee is also subject to exposure to blood and body fluids, proximity to moving mechanical parts, electrical shock



Location: Hot Springs Health · Business Office
Schedule: Full Time, Days, 8-5

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