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Providence Health & Services Senior Accounts Receivable Specialist Post Acute PSJH in Tukwila, Washington

Description:

Providence St. Joseph Health is calling a Senior Accounts Receivable Specialist Post Acute PSJH to our location in Tukwila, WA.

We are seeking a Senior Accounts Receivable Specialist Post Acute PSJH to

be responsible for the timely and accurate billing and collections of payments from insurance carriers, agencies and others for equipment and services provided by Providence Senior and Community Services and Home and Community Services which could include the following services lines of Home Infusion/Specialty Pharmacy/Oral Dose, Skilled Nursing Facility, Home Health, Hospice, and Home Medical Equipment.

The incumbent performs all duties in a manner that promotes Providence St. Joseph mission, values, and philosophy. In all aspects, this leader serves as a role model for the values and mission of the organization.

In this position you will have the following responsibilities:

  • Responsible for the coordination of work distribution and daily operations, ensuring staff efforts are aligned with department goals, and monitoring team-specific work volume, making staffing changes as necessary

  • Assists leadership with/by: Providing regular feedback on performance; Implementing a standardized approach across facilities, policies and goals; Interdepartmental meetings; Recruiting and selection of new employees as requested; Developing quality and productivity standards based on industry and department benchmarks; Identifying performance trends; monitors key performance measures to maximize performance and drive productivity; Regular feedback on performance of the team, by identifying concerns with performance, work quality, morale, customer complaints, backlogs, training deficiencies, staff shortages, etc working with leader to respond to issues and suggestions in a timely manner.

  • Provides hands-on support for daily activities, workflows and job aids to optimize customer service and drive financial performance, providing coaching and mentoring as needed; assist with development of procedures and training materials.

  • Coordinates training and education of staff as assigned; provide one on one training as necessary; observes staff to maintain a high level of knowledge

  • Escalates and encourages staff to escalate issues and suggestions

  • Provides staff with regular updates on results and promotes teamwork, facilitating appropriate team building exercises as directed by leadership.

  • Exhibits a high level of professionalism in working with leadership

  • Demonstrates excellent problem solving skills

  • Enhances and maintains own professional growth and development through participation in relevant educational programs, literature, in-service meetings and workshops.

  • Demonstrates competency in identifying and providing feedback regarding billing needs, recommending and implementing creative solutions to meet those needs, consistent with available resources, appropriate procedures, and internal controls for new and existing systems and coordinating efforts with other team members and departments.

  • Coordinates contacts with all third party representatives and others as required resolving issues related to outstanding claims.

  • Maintains knowledge of Medicare, Medicaid, and commercial payors rules and regulations by attending online seminars as directed by management and monitoring web sites to maintain regulatory compliance knowledge.

  • Maintains patient accounts by posting charges, cash receipts and adjustments. Assists accountants in balancing specific general ledger accounts as they relate to receivables, and cash receipts. May prepare and pursue collection on delinquent accounts.

  • Maintains and/or notify appropriate personnel of all appropriate schedules needed to bill efficiently. May assist in planning for new or upgraded financial systems and coordinates the implementation process among the finance users, information services staff and other parties.

  • May assist with preparation of financial reports for leadership, including credit balance reports for submission to Financial Intermediaries (FI) on a quarterly basis.

  • Retains and maintains all third party contract rates and associated billing codes to ensure maximum reimbursement to facility/agency.

  • Insures all appropriate regulatory requirements, including HIPAA, are incorporated into work practices in an effort to maintain regulatory compliance and promote the integrity of confidential/private data and patient information.

  • Maintains updated job standards list for assigned duties including detailed list of scheduled activities, deadlines, and order of completion to ensure coordination of workloads, volumes, staff changes and provides necessary training and cross-training.

  • Seeks out guidance when uncertain of a procedure, policy or standard operating practice and performs other duties as assigned.

  • Identifies process breakdowns as they occur, and remedies or escalates them to leadership.

  • Acts as a resource to others within Providence Senior and Community Services and Home and Community Services and as such, does not routinely delegate tasks. The position does coordinate the monthly financial close and some billing research activities with the Financial Services Department. Examples include notification to accounting that accounts receivable monthly close is complete, preparation of accounts receivable journal entries, or research of bad debts and/or patient accounts.

  • Key understanding of payment methodologies including, but not limited to, per diem billing, fee for service, resource utilization grouping, and Home Health episodic Perspective Payment System.

  • Ability to use healthcare software programs including automated billing systems, claim management software, fax, copier, printer, and multi-phone line.

  • Other duties and responsibilities as assigned.

Qualifications:

Required qualifications for this position include:

  • H.S. Diploma or GED

  • 4 years recent experience in healthcare revenue cycle.

  • Knowledge and experience with insurance contracts and/or Medicare/Medicaid Regulations.

  • Performs work independently with minimal supervision

  • Ability to work in a fast-pace, high volume environment, and handle frequent interruptions, maintaining work accuracy

  • Possess enthusiasm, good judgement and cognitive skills

  • Displays strong written and verbal communication skills

  • Individual, interpersonal, team, and organizational effectiveness by demonstrating appropriate behaviors related to core values, policies and procedures, performing assigned job responsibilities and professional development, demonstrating effective human relations skills, participating effectively as a team member to achieve team goals and objectives, and demonstrating commitment to overall organizational success.

Preferred qualifications for this position include:

  • College level courses in medical front office/medical billing.

  • Epic experience.

About the department you will serve.

One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Billing/Insurance

Location: Washington-Tukwila

Req ID: 251393

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