Responsible for all business office functions including admitting activities for patients, financial counseling, claims follow-up and collections, data analysis, charge entry and eligibility determination.KEY RESPONSIBILITIES:
Works effectively with the A&R staff to maximize all pre-admission activities.
Oversees and ensures accuracy of all Pre-admission functions as they relate to the Business Office. Responsibilities include, but are not limited to, pre-admission verification of demographic and insurance information for patients being referred to facility for treatment and data entry of all pertinent information into the data processing system.
Responsible for ensuring that the outpatient and inpatient daily and monthly statistics are balanced daily and reported to the appropriate departments and or personnel.
Oversees and analyzes the OOP yield report to ensure that staff are attempting to meet with the patients and or family members to maximize self-pay collections.
Understands the data elements required to generate a clean bill; Disseminates daily discharges; Ensures that staff analyze discharges to ensure that LOS is authorized, chart is coded and claim is billed and is in the payer system and will pay at expected reimbursement.
Ensures that billing packets are scanned and indexed in DocLink correctly and in a timely manner.
Ensures that all mail pertaining to the Business Office is opened daily and comments are entered in the system for authorization, denials and EOB’s timely, scanned in DoclLnk and filed in monthly Business Office folder.
Discuss denials with UR staff and update Denial Tracker accordingly. Review EOB’S for potential denials and or refunds.
Review daily discharge report for potential bridge appointments. When applicable, locate bridge form in chart or nursing station. Fax completed bridge form to appropriate payor, add AIS comments, scan in DocLink, file in monthly folder. If not applicable remove bridge in insurance screen.
Prepare deposit for any cash or checks received at physical location.
Ensure that staff is trained to provide backup coverage during breaks and lunches for PBX operator.
Review AR for overpayments and if applicable prepare patient or insurance refund.
Request charts, prepare appeals and charts for mailing, documenting Denial Tracker in AIS and scan pertinent documents in doclink.
Responds to all emails from the CBO for claim resolution in a timely manner.
Download reports from AIS and work in proper format.
Participates in activities to enhance professional growth and development.
Carries out personnel management activities associated with direct staff supervision, including screening and selection, orientation training and development, performance management, and employee relations functions.
Upholds the Organization’s ethics and customer service standards.
This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of Reno Behavioral Healthcare Hospital.
RequirementsEducation/Licensure:
Bachelor’s Degree strongly preferred
One (1) year of Admitting and/or Financial Counseling required.
Knowledge and Experience:
Knowledge of governmental and managed care payer requirements.
Demonstrates sound leadership skills.
Knowledge of management principles and practices.
Skills and Abilities:
Ability to lead and motivate others.
Ability to develop and maintain recordkeeping systems and procedures.
Ability to gather data, to compile information, and prepare reports.
Proven strategic-thinking, problem-solving and analytical skills
Flexibility and willingness to adapt to change
Strong written, oral and interpersonal communication skills.
Maintains confidentiality of patients at all times.
Sensitivity and willingness to interact with persons of various social, cultural, economic and educational backgrounds.
Proficiency with software and/or equipment (Microsoft Office applications including Outlook, Word, Excel and PowerPoint).
Strong organizational skills with ability to prioritize projects, manage multiple tasks, and meet deadlines.
Strong written and verbal communication skills with the ability to convey detail or important spoken instructions to others accurately.
Ability to work with people with a variety of background and educational levels.
Ability to perceive detailed information through oral communication and to make fine discriminations in sound.
Demonstrated commitment to working collaboratively as well as possessing the skills to lead, influence, train and motivate others.
Good judgment, problem solving and decision-making skills.
Ability to work in a fast-paced, expanding organization.
Physical Requirements:
While performing the duties of this job, this position is frequently required to do the following:
Stoop, kneel, crouch, reach, and stand for sustained period of time.
Walk, push, pull, lift, carry objects from a lower to higher position or horizontally from position to position or otherwise move objects.
Feel sizes, shapes, temperatures, and textures by touching with skin, particularly that of the fingertips.
Express or exchange ideas orally and potentially loudly, accurately, or quickly.
Hearing within normal hearing ranges.
Lift up to 30 pounds, exert up to 100 pounds of force occasionally, and/or up to 30 pounds of force frequently.
Minimum standard of visual acuity with or without correction.
While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside.
BenefitsWe proudly offer the following benefits available 1st of the month following just one month of employment:
Competitive rates
Tuition reimbursement
Comprehensive package of benefits to include:
Medical
Dental
Vision
Life, Pet, Identity Theft Insurance
401k
Generous paid time off
Short Term and Long Term Disability
