Analysis Skills, Calendar Management, Community Health, Epic Systems, Healthcare, Insurance, Leadership, Medical Billing, Operating Systems, Oracle WebLogic Server, Patient Care, People Management, Public Health, Third-Party Payer, Trend Analysis
3. Position Description and Job Skill Set
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 responsibilty
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
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
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Revenue Cycle Clearinghouse
SME
Required
Enter text here
Insurance Benefit Interpretation
SME
Required
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