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MERCY HEALTH CORPORATION Team Lead Patient Financial Services in JANESVILLE, Wisconsin

JOB REQUIREMENTS: Overview Specialty Group Team Lead, Patient Accounts, Days, 80 Hrs / wks Location: MercyCare Bldg; Janesville, WI or Rockton Ave Campus; Rockford, IL. Hybrid schedule opportunities available after probationary period. Works in collaboration with the leadership team on communicating Specialty billing policies, procedures and providing department workflow training and reporting to all partners. Conducts performance audits and provides respective partner feedback along with additional training as needed to help support in partner development. Works all advanced functions within Epic and performs other duties as assigned. Responsibilities Serves as A Subject Matter Expert (SME) with regards to the Specialty billing processes and the respective Patient Financial Services Specialty role, maintaining an advanced knowledge of payor updates including Federal and State guidelines, department workflows and resources needed to resolve payor rejections and troubleshoot identified denial trends. Knowledgeable in the Single Billing Office (Both HB and PB) environment within Epic. Conducts and manages all department workflow training for new hires to ensure the 90-day standards are successfully met. Escalates and follows-up with various Mercyhealth departments on any open and unresolved items to assure timely submissions on outstanding claims Monitors and works interdepartmental communication work queues to help ensure timely follow-up and resolution to department/patient open items. Investigates and works identified payor trends to help present a recommended resolution to improve payment outcomes. Develops written workflows and job aids to help provide additional resources to Specialty Representatives. Partners with the Revenue Cycle Training department to host shadowing sessions for new partner orientations to help aid in sharing general knowledge about the role and impact it has within the revenue cycle. Assists with the review and approval of department adjustment requests, ensuring appropriate follow-up was completed and correct adjustment codes were selected, providing partner feedback where applicable. Researches and provides ongoing partner education regarding regulatory compliance and requirements for claim submission. Ensures accurate and timely completion of daily tasks and projects. Works with the supervisor to develop and maintain individual and work group statistics that measure quality and productivity. Performs partner audits on a regular basis to ensure quality and accuracy of partner work productivity When applicable, identifies and takes appropriate action to resolve problems to ensure that Mercyhealth obtains expected reimbursement. Brings workflow discrepancies to the attention of a supervisor or manager. Provides daily support to work group partners by... For full info follow application link. EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity employer functioning under Affirmative Action Plans. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/8A19682546254C1C

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