Nuvance Health Careers

Description

Summary:

Coordinates and monitors all aspects of Patient Financial Services daily functions, including billing compliance and accounts receivable functions.��Responsible for the assigned areas' claims submission, payment application, denial management, and account follow-up to ensure optimal reimbursement.

Responsibilities:

1. Coordinates/monitors all aspects of billing/accounts receivable management; ensures compliance, efficiency & reimbursement; includes accurate & timely preparation/submission of claims, payment & rejection application & follow-up for reimburse receivables. 2. Receives and processes payments & rejections for assigned work group accurately & timely. Performs trend analysis for management in order to determine registration & documentation deficiencies throughout the organization. 3. Responsible for daily completion & correction of information for claims edit lists & rejections; identifies training issues within the department. Provide immediate access to explanation of benefits (EOB's), reports & other information as requested. 4. Processes claims on a daily basis & perform timely follow-up. Supports Team Leader; ensures appropriate completion of department workflow. Offers guidance & training to lower level staff & provides input to Level I staff member's performance if requested. 5. Provide feedback to designated Hospital contacts regarding billing and reimbursement issues & changes in procedures, rules & regulations including immediate feedback to management regarding payment rejections as necessary. 6. Participate in meetings with supervisors and/or managers to review issues including staff training & education, A/R management & reimbursement issues. 7. In addition to the processing of refunds, credit balances and unapplied cash, support the Team Leader in monitoring the accuracy & completion of the entire cash application process. 8. Adheres to all policies and procedures related to compliance with all federal & state billing & collection regulations & third party contractual obligations. 9. Identifies and resolves problems associated with billing, procedures, system functionality, etc & reinforces training for staff as necessary & make recommendation to management for improvement &/or resolution. WCHN Position Description Page 1 of 2 | July 27, 202010. Maintains departmental policies and procedures. 11. Adheres to all policies and procedures related to compliance with all federal & state billing & collection regulations & third party contractual obligations. 12. Fulfills all compliance responsibilities related to the position. 13. Performs other duties as assigned.

Other Information:

Required: Data entry and MS Excel. Customer service experience required. Minimum Experience: one year Desired: Medical terminology, billing, cash applications and collection experience.

Working Conditions:

Manual: significant manual skills/motor coord & finger dexterity

Occupational: Little or no potential for occupational risk

Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force

Physical Environment: Generally pleasant working conditions

Company: Nuvance Health

Org Unit: 1826

Department: Patient Accounting Med Practic

Exempt: No

Salary Range: $18.39 - $27/hour - based off experience