POSITION
PURPOSE
Focus on maximizing collections of the assigned clinical
departments. Complex analysis of AR related reports and monthly financial
reports to keep clinical department faculty and administration informed
of their financial statistics. Utilizing surgical specialty coding
knowledge, identify opportunities for improved reimbursement. Partner
with the billing office staff and clinical department to make changes
as appropriate that result in increased reimbursement (within regulatory
constraints). Serve as a resource to both coding specialists and reimbursement
teams to assist in preparing appeals when physician letters are needed
and to alert the teams of any potential litigation case.
ESSENTIAL
DUTIES
1. Focused Account Review and Report Generation
Augment normal CPS claims follow-up procedures through
follow-up on self-generated reports and on other current standard
system reports to identify additional appeal tactics and escalation
measures.
Report findings of positive and negative trends for
further consideration on next steps. Offer suggestions for improvement
and/or develop action plan.
2. Financial Review and Report Preparation
Analyze monthly financial reports in preparation for
regular meetings with the providers.
Develop additional reports and charts that may be
needed to illustrate the impact on the revenue cycle and/or what may
indicate a trend.
Analyze reports that may be requested directly or
indirectly in response to providers’ request for a special review.
OTHER
DUTIES
Complete special projects as needed.
MINIMUM
POSITION QUALIFICATIONS
Appropriate education and/or experience may be substituted on equivalent
basis
Education: Bachelor’s Degree in Business, Health
Care Administration , Finance or Statistics
Certifications/Licenses: Coding Certification Preferred
KNOWLEDGE,
SKILLS, & ABILITIES
Excel, strong financial analysis skills, excellent communication and
problem solving skills. Ability to follow through independently and
clearly document related actions taken. Ability to communicate results
to all concerned. Be knowledgeable of primary/secondary health insurance
rules and managed care contract provisions. Responsible professional
informed image essential in daily activities
Tags: Admin
& Clerical : Banking
Jobs : Financial
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