GOVERNMENT BILLING SUPERVISOR - CLIENT ACCOUNTS

Job Description:

We Are Hiring!

At Riverside, daily brings brand-new and interesting obstacles. You can anticipate a fascinating environment where you’re part of making certain our company is running efficiently and securely, assisting keep the neighborhood healthy. We offer the type of paid training and chances that long-lasting professions are developed on and we acknowledge difficult employees who make every effort to make a distinction. You will have the ability to be successful in our close-knit, safety-focused culture collaborating as a group. The professions we provide are significant since the work we do matters. Join us!

FTE: 1.000000

Shift: Days

Location: Hoover

Summary:

Reporting to the Director of Patient Financial Services (PFS) supervises and handles all billing, follow-up and appeals associated with Medicare and Medicaid. The supervisor will collaborate effectiveness and preserve income stability associated to medical requirement, federal government audits and all billing to both Medicare and Medicaid. Carry out other client accounting functions, as required.

Experience/Education Requirements:

• Bachelor’s degree in Business or a Healthcare associated field is chosen
• Minimum 5 years experience operating in a health care billing field
• Ability to work separately and carry out crucial choice making including governmental payer compliance
• The capability to stay calm in high tension circumstances
• The social and interaction abilities needed to communicate successfully with outdoors suppliers and different levels of Riverside Healthcare personnel
• The composed and spoken interaction abilities needed to offer updates, paperwork and training
• The capability to work a diverse schedule and meet on call requirements and the capability to take a trip to offsite sectors of the Riverside Medical Center school and work from another location for prolonged amount of times
• Effective discussion abilities to present training products to varied groups

License or Certification Requirements:

• HFMA Credentialed Revenue Cycle Representative, chosen. If the picked prospect is not credentialed by either HFMA or AAHAM, the prospect consents to get this accreditation within 2 years of accepting this position.
• Complete 10 hours of Medicare University in between July 1 and May 31 each year. Send report from Medicare University in Halogen and copy to Manager/Director for evidence of conclusion.

Responsibilities:

• Acts as system administrator for appointed software application.
• Acts as the Medicare medical requirement intermediary to healthcare facility departments and doctor workplace workers.
• Responsible to preserve medical requirement failures at or listed below target and report regular monthly to departments, doctors and management losses due to medical requirement.
• Work with all celebrations to recognize source and execute procedures to restrict losses due to medical need failures.
• Assist with the advancement and upkeep of the policy and treatment database for the department.
• Maintain education, training and personnel’s understanding of policies assisting their functions.
• Ensure personnel’s use of online education and credentialing chances and requirements.
• Develop a yearly curriculum to guarantee personnel’s abilities and understanding is kept.
• Oversee and handle precise and prompt appeals and follow-up of all governmental audit procedures. (i.e., RAC, MAC, Medicaid RAC, and so on)
• Oversee and handle precise and prompt billing and follow-up of all claims for Sojourn and Miller Nursing Home.
• Oversee and handle precise and prompt billing and follow-up of all Medicare and Medicaid declares for Riverside Medical.
• Performs tasks associated with staff member timekeeping in Kronos.
• Performs software application upgrade screening; upgrading user training and serving as user assistance contact throughout upgrade setup. Implement, file, test and assistance authorized application adjustments or improvement specs.
• Responsible for investigating and carrying out all billing requirement for payers; upgrading the Affinity applications, as needed/required.
• Subject matter professional for Medicare and Medicaid; preserving billing requirements specified by agreement, state or federal law.
• Work with the ePremis Administrator (or existing health center billing system) to preserve and enhance automation to make sure personnel precision and effectiveness.

Education:

Essential:

• BACHELOR DEGREE

Riverside Healthcare is transforming care utilizing leading-edge innovation to identify and deal with clients. We are ranked leading in the country for efficiency in neurosurgery, orthopedics, and heart surgical treatment and have actually likewise been called among the country’s 100 Top Hospitals by Truven Health Analytics 7 times. Riverside is nationally acknowledged for our specialized programs in obstetrics, injury, oncology, rehab, geriatrics, occupational health, psychiatric services, and treatment of alcohol and chemical dependence, along with client security. We integrate development and benefit at modern centers found in neighborhoods throughout the higher Kankakee location.

Riverside Medical Center shows that really progressive medication is being provided in Chicago’s southwest suburban areas and East Central Illinois. Sign up with a group that is not just worried about supplying the very best care possible however likewise with using a workplace of development and development. Riverside is a location that accepts a culture where viewpoints count and commitments is appreciated, where exceptional efficiency is rewarded with competitive incomes and exceptional advantages.

Other info:

Exposure/Sensory Requirements

Exposure to:

Chemicals: None

Video Display Terminals: Extreme

Blood and Body Fluids: None

TB or Airborne Pathogens: None.

Sensory requirements (speech, vision, odor, hearing, touch):

Speech: Needed for presentations/training, telephone interaction, assist in conferences.

Vision: Needed to check out memos and literature.

Smell: N/A.

Hearing: Needed for telephone interactions, conferences, and listening to worker issues.

Touch: require to compose, do computer system entry, filing.

Activity/Lifting Requirements

Average Hours each week: 40

Shift: Days

Percentage of time throughout the typical workday the worker is needed to:

Sit: 85%

Twist: 0%

Stand: 5%

Crawl: 0%

Walk: 5%

Kneel: 0%

Lift: 2%

Drive: 0%

Squat: 1%

Climb: 0%

Bend: 1%

Reach above shoulders: 1%

The weight needed to be raised each typical workday according to the continuum explained listed below:

Up to 10 pounds: Occasionally

Up to 20 pounds: Occasionally

Up to 35 pounds: Not Required

Up to 50 pounds: Not Required

Up to 75 pounds: Not Required

Up to 100 pounds: Not Required

Over 100 pounds: Not Required

Describe and describe the lifting and bring requirements. (Example: the range product is brought; how high product is raised, and so on):

lifting is not normally needed.

Maximum successive time (minutes) throughout the regular workday for each activity:

Sit: 408

Twist: 0

Stand: 24

Crawl: 0

Walk: 24

Kneel: 0

Lift: 9

Drive: 0

Squat: 8

Climb: 0

Bend: 8

Reach above shoulders: 4

Repetitive usage of hands (Frequency shown):

Simple grasp approximately 10 pounds. Regular weight: 5-10 # regular

Pushing & pulling Normal weight:

Fine Manipulation: Terminal entry, calculator.

Repetitive usage of foot or feet in running device control: None

Environmental Factors & Special Hazards

Environmental Factors (Time Spent):

Inside hours: 8

Outside hours: 0

Temperature: Normal Range

Lighting: Average

Noise levels: Average

Humidity: Normal Range

Atmosphere: Dust & Poor Ventilation

Special Hazards:

Protective Clothing Required: None.

Riverside Healthcare.

Read More

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