Minimum Education
- High School Diploma or equivalent is required.
- Associate or Bachelors degree in business or related field is preferred.
Minimum Work Experience
- Two years of experience is required if equivalent training has not been received.
- Previous healthcare experience preferred
Required Skills
- Excellent customer skills. Must have a working knowledge of HCPCS codes.
- Computer skills as well as the ability to type with accurate spelling, grammar and punctuation is required.
- Having the ability to speak clearly and concisely with patients and providers is crucial.
- Must be able to perform duties and maintain personal conduct, attitude and appearance that conform to policies and procedures of the facility.
- Skills in establishing and maintaining effective and professional relationships with patients, medical staff, clerical staff and the public will be essential.
FUNCTIONAL DEMANDS
Physical Requirements
Sitting - =>32%
Walking - 16-31%
Standing - 1-15%
Bending/Squatting - 1-15%
Climbing/Kneeling - 1-15%
Twisting - 1-15%
OSHA Category
Minimal potental for direct exposures.
Visual and Hearing Requirements
Must be able to see with corrective eyewear.
Must be able to hear clearly with assistance.
Other Physical/Environmental Demands
Lifting - 0-50lbs, 50lbs or more with assistance
Carrying - 0-50lbs, 50lbs or more with assistance
Pulling - up to 100lbs
Pushing - up to 100lbs
LEADERSHIP CAPABILITIES
Mission, Service, and Values
Supports the hospital Mission, Service and Values.
ESSENTIAL FUNCTIONS
Essential Functions
- Accurately obtains and enters patient information.
- Assumes responsibility of payroll and human resources materials.
- Files mandatory applications for current registration with all regulatory agencies and insurance payers.
- Professionally responds to phone inquiries from reimbursement sources and patients
- Compiles and submits data to reporting regulatory agencies.
- Monitors and submits accounts for bad debt collection.
- Responds to and investigates inquiries for refunds of payments by insurance companies.
- Demonstrates working knowledge of HCPCS codes.
- Compiles visit and encounter information for productivity reporting.
- Enters census information daily for hospice.
- Verifies invoices from nursing home for hospice room and board.
- Monitors, develops and maintains processes for billing as regulatory changes are made.
- Download Medicare and Medicaid remittances for processing electronically.
- Back up provided for all authorizations for home health, home medical equipment, and hospice
- Back up provided for deposits and taking payments from patients.
- Able to work with minimum supervision.
- Ability to work independently on assigned tasks as well as accept direction on given assignments.
- Excellent verbal and written communication skills. Demonstrates exceptional interpersonal communication skills.
- Demonstrates strong organizational skills.
- Demonstrates Leadership ability.
- Demonstrates knowledge of Electronic Medical Record. Trains and serves as a resource person to staff.
- Floats to other areas as requested and responds to assignment with positive attitude.
- Participates in staff meetings.
- Maintains patient confidentiality.
- Knowledge of HIPAA awareness and compliance with emphasis on respect of the patients’ right to privacy, dignity, and confidentiality.
- Maintains annual Employee Health screening requirements as required by policy.