Auditing, Billing, Chargemaster, Clinical Medicine, Communication Skills, Establish Priorities, Financial Services, Healthcare, High School Diploma, Hospital, Hospital Systems, Information Technology & Information Systems, Licensed Practical Nurse/Licensed Vocational Nurse, Medical Billing, Medical Coding, Medical Terminology, Microsoft Access Database, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Network Systems, Nursing Credentials, Organizational Development/Management, Price Quotes, Process Improvement, Regulations, Regulatory Compliance, Reimbursement, Third-Party Payer, Time Management
Overview
Job Summary
Responsible for creation of all hospital supply and procedure charges ensuring all regulatory guidelines are met; identification of opportunities for additional hospital charges; ensure correct reimbursement for new supply items; coordination of MMP monthly audit reviews; provide charge price estimates as requested by patients and other external sources; monitoring billing/charging practices to identify hospital over/underpayments; and auditing of accounts.
Performs duties in a manner to support Patient Financial Services vision of:
"to be the most effective and efficient, outcomes measured department of Huntsville Hospital in order to continuously and positively impact the organization's overall vision"
The primary job functions of this position should be accomplished by working to achieve the goal of supporting the vision of Huntsville Hospital by ensuring all hospital charges comply with federal, state and carrier requirements and the clinical services provided by the organization are appropriately compensated by third party payers. Overall goal achieved by continuously striving to ensure:
- Regulatory and payor compliance of hospital charges and billing practices.
- Timely creation of new hospital charges.
- Effective communication with Dept. Managers within the organization to identify appropriate charges for service provided by department
- Positive and timely communications with customers.
- Effective utilization of internal and external resources.
Qualifications
Minimum Knowledge, Skills and Experience required:
Education:
- High school diploma or GED required
- Alabama nursing license (RN or LPN) preferred
- Prior Chargemaster, clinical or coding experience will be considered in lieu of nursing license
Experience:
- Minimum of 2 years' experience working with patient accounting, chargemaster maintenance, coding, or similar experience
- Knowledge of clinical and financial processes within a hospital based healthcare system
- Effective communication skills with internal hospital departments and other external resources
- Working knowledge of medical terminology, coding, and healthcare billing guidelines
- Skilled at auditing and process improvement techniques
- Proficient in Word, Excel, PowerPoint, Access, and working within a networked IT system
- Able to work in fast paced environment, requiring prioritizing and changing tasks.
H
Huntsville Memorial Hospital