Description

Position Highlights:

• Lifestyle: Sandusky was voted “Best Coastal Small Town in America”. You will have the opportunity to enjoy living and working in this growing area along the beautiful shores of Lake Erie.

• Work/life: You will find support to help you manage your personal life while building a career.

• Employee-centric: Tuition reimbursement, loan forgiveness, comprehensive major medical, dental and vision insurance, paid time off, 401(k), health and wellness offerings, monthly employee events, and more.

  About Firelands Health:

Our goal at Firelands Health is to be the best & preferred independent healthcare employer for the Sandusky Bay region.

Firelands Health is the area’s largest and most comprehensive resource for quality medical care. We are “big enough to care for you, and small enough to care about you”. We are locally managed and governed as a not-for-profit healthcare facility, serving the counties of Erie, Ottawa, Sandusky, and Huron, covering a regional service area with over 300,000 residents. Our mission is to provide excellent healthcare, promote community wellness, and improve the lives we serve.

Our Core ACE Values: Attitude: We choose to be positive and inclusive every day. Commitment: We are committed to exceed the expectations of those we serve. Enthusiasm: We will work passionately to make a difference.

What you will do:

• Under the supervision of the Financial Systems Director, provides day-to-day supervision to the Patient Accounts Specialists. Contributes to the development of processes and procedures that will enhance the overall efficiencies of billing processes including follow-up, denial management and collection of claims. Develops specialized billing procedures as required for grant funds.

• Assists Director with policy development, staff scheduling, hiring, and performance evaluations. Takes primary lead in the training and orientation of new staff. Ensures that current, accurate and appropriate written training materials are developed/utilized to support quality and consistency among the assigned staff. Reviews billing processes and develop ways to streamline activities for increased productivity. Ensures assigned staff are adequately cross-trained to cover billing and other needs of the department versus any one site or board area. Performs routine quality/timeliness checks of billing requirements and other work as assigned. The Coordinator is able to resolve non-routine problems/concerns independently, or assist in resolving complex or highly unusual problems.

• Responsible for supporting and maintaining the EMR software utilized by the Patient Accounts Specialists. The Billing Coordinator will contribute in the development of any updating of EMR as it pertains to the billing features.

• Audits for compliance with departmental expectations and billing compliance standards. Documents findings of these audits and provides routine follow up with staff member and Financial Systems Director. Initiates plans of correction with involvement from Financial Systems Director.

• Helps set work order priorities, determines what work is routed to which staff, changes assignments or assigns additional staff to meet priorities.

• Communicates with clients and outside vendors including MHRS Boards, Insurances and Medicaid regarding billing questions and concerns. Communicates with internal staff regarding collection and/or billing issues to mitigate repeat errors.

• Develops and maintains collection procedures to be used across all BH locations. Manages collection activities for all BH sites while maintaining client payment plans and collection agency correspondence.

• Trains and supervises billing staff from all 6 counties and Board areas. Supports the cross-training of staff as needed for overall department operations versus any one site. Ensures that current, accurate and appropriate written training materials are developed/utilized to support quality and consistency among the assigned staff. Required to travel to multiple sites for training and supervision needs.

• Completes performance appraisals in a timely manner. Assures that bills are prepared and submitted to all payers accurately and by the contracted timelines.

• Communicates with assigned staff, Financial Systems Director, Director of Operations, and management staff to maintain an efficient and fully operational system. Facilitates efficient billing processes assigning work, monitoring productivity, and providing other data to management staff as needed. Keeps overtime to the minimum and ensures all overtime is preapproved.

• Interfaces with hospital and payer source billing staff as needed to resolve issues. Takes the lead in working with the EMR vendor to resolve issues pertaining to billing functions. Works with IT Department to address internal issues pertaining to billing.

• Assists with the development of Financial Intake procedures including ensuring staff have access to all software needed to verify benefits. Ensures Financial Intake procedures promote a flow of information to billing staff to support timely and accurate claims.

• Assists with presentations at monthly department meetings.

  What you will need:

• High school diploma or equivalent, Certificate of Medical Billing and Coding coursework or at a minimum 3-5 years of provider claims processing & follow-up experience.

• Excellent communication skills required with ability to communicate with all levels of management, outside vendors and our clients in a professional manner.

• Knowledge and excellent understanding of CPT, HCPCS, ICD10, Revenue Center, billing modifiers, and other data fields related to billing and coding.

• Demonstrated knowledge of hospital Revenue Cycle & Patient Accounts software.

• Demonstrates the ability to grasp new and technical concepts quickly and stay current with technology

• Ability to work with Microsoft Office Products at an advanced level, especially excel. Skills to download documents, create pivot tables, develop formulas, link spreadsheets, and create new worksheets are required. Ability to write instructions/procedures in an effective manner.

• Must possess a valid State of Ohio motor vehicle operator's license and be insurable under

• Firelands' auto policy. Employee must provide proof of personal automobile liability insurance coverage upon request.

• Successful completion of a ninety (90) day probationary period.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)