Adjudication, Analysis Skills, Calendar Management, Certified Professional Coder (CPC), Community Health, Epic Systems, Healthcare, Leadership, Medical Billing, Operating Systems, Oracle WebLogic Server, Patient Care, Public Health, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Revenue/Sales Reporting, Third-Party Payer, Trend Analysis, Willing to Travel
Location: Jackson, MS 39211 US United States (75% remote and 25% in person)
Travel: Some travel and expenses will be authorized (Occasional; In/Out of state)
Job Duration: Approx. 1 Year (Extensions highly likely)
Job Description:
Description of the job functions the contractor will be expected to perform:- Provide support to Revenue Cycle through the following:
- Review coverage discovery for scheduled patient appointments to determine patient responsibility
- Document coverage appropriately in Epic
- Identify trends in coverage and point of service patient responsibility collections for each of the 88 clinic locations
- Recommend process changes that would optimize collection of patient responsibility related revenue and third-party payments
- Communicate with clinical and operations leadership related to coverage discovery, patient responsibility, and revenue cycle related topics
Required Skills/Experience:- Provide the minimum required skills and/or experience the contractor must possess to qualify for this position. These requirements will be transferred to the Score Sheet and candidates without these requirements reflected on their resume will NOT be presented to the manager for consideration.
- Epic PB experience, certification preferred
- RHIA/RHIT/CPC certified required
- Revenue cycle reporting, build, logic, claims adjudication, data, and training
- Clearinghouse
- Third party coverage discovery
- RTE interpretation
Preferred/Not Required:- Provide any skills/experience that would be helpful for the candidate to possess but not required. Examples: Previous supervisory
- Experience, WebLogic experience helpful, etc.
- Public health, community health, physician clinic, FQHC, RHC revenue cycle experience Mississippi healthcare experience
Skills Matrix:| Beginner: 1-2 years Intermediate: 3-5 years Advanced: 5-7 years SME: 7+ years |
| Skill Set | Skill Level
(See key code above) | Required/Preferred | Notes |
| Operating Systems |
| Epic | Advanced | Required | Enter text here |
| Revenue Cycle Clearinghouse | SME | Required | Enter text here |
| Insurance Benefit Interpretation | SME | Required | Enter text here |
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Integrated Resources, Inc