Franciscan Missionaries of Our Lady Health System

• Facilitates EPIC vision development, solution design, standards guidance, project scoping, IS strategy integration and implementation of efficient, high-quality technology and applications systems. • Evaluates technology, systems and application capabilities, analyzes workflow/data flow, and creates efficient and logical solutions. Plans, schedules, reviews, and performs analysis, design, construction, testing, and implementation of assigned technology and application systems. Participates in solution testing and documents clear and concise system descriptions that meet project requirements and departmental quality standards. • Collaborates with FMOLHS Information Services, leaders, team members and end users to develop efficient, cost-conscious technology and applications system specifications that maximize organizational performance.

• Facilitates Epic vision development, solution design, standards guidance, project scoping, IS strategy integration and implementation of efficient, high quality technology and applications systems. • Evaluates technology, systems and application capabilities, analyzes workflow/data flow, and creates efficient and logical solutions. Plans, schedules, reviews, and performs analysis, design, construction, testing, and implementation of Epic and related application systems. Participates in solution testing and documents clear and concise system descriptions that meet project requirements and departmental quality standards. • Collaborates with FMOLHS Information Services, leaders, team members and end users to develop efficient, cost-conscious technology and applications system specifications that maximize organizational performance. • Develops and implements data driven performance improvement methodologies. Maintains accurate records for use in evaluating organizational performance. Identifies ways of improving current services and consults with management on issues and problems. • Ensures security, integrity, and privacy of FMOLHS data in conjunction with FMOLHS policies and procedures. • Strives to promote the quality and efficiency of his/her own performance by remaining current with the latest trends in field of expertise through participation in job-relevant seminars and workshops, attendance at professional conferences, and affiliations with national and state professional organizations.

• Facilitates Epic vision development, solution design, standards guidance, project scoping, IS strategy integration and implementation of efficient, high quality technology and applications systems. • Evaluates technology, systems and application capabilities, analyzes workflow/data flow, and creates efficient and logical solutions. Plans, schedules, reviews, and performs analysis, design, construction, testing, and implementation of Epic and related application systems. Participates in solution testing and documents clear and concise system descriptions that meet project requirements and departmental quality standards. • Utilizes organizational project management methodology, processes, and systems to ensure effective and efficient project development and completion. Evaluates requests for programming and provides timetables for completion. • Collaborates with FMOLHS Information Services, leaders, team members and end users to develop efficient, cost-conscious technology and applications system specifications that maximize organizational performance. • Ensures security, integrity, and privacy of FMOLHS data in conjunction with FMOLHS policies and procedures. • Develops and implements data driven performance improvement methodologies. Maintains accurate records for use in evaluating organizational performance. Identifies ways of improving current services and consults with management on issues and problems. • Strives to promote the quality and efficiency of his/her own performance by remaining current with the latest trends in field of expertise through participation in job-relevant seminars and workshops, attendance at professional conferences, and affiliations with national and state professional organizations. • Utilizes IS project management methodology and best practices to improve individual and organizational efficiency, effectiveness, and outcomes.

• Answers and responds to incoming phone calls in adherence with protocol and service standards. • Provides assistance to managers and employees with time-sensitive requests, such as HRIS (Lawson) navigation, etc. • Provides first-level assistance to managers and employees with HRIS self-service tools • Assists employees and managers in all stages of the employee life cycle (onboarding, job changes, retirement, etc.). • Initiates contact or makes referrals to the appropriate resource for situations that require specific attention or on behalf of other HR Centers of Excellence (CoE). • Investigates and resolves first-level Human Resources and benefits issues. Successfully prioritizes and resolves issues to ensure consistent internal and external customer satisfaction. • Maintains accurate and timely documentation and recordkeeping related to human resource and benefit activities in the designated database(s) and in adherence with human resource and benefit policies and applicable regulations. • Participates in and shares expertise during team meetings and training sessions. • Assist with HR projects as assigned

• Coding/Abstracting • Determines the sequencing of diseases, diagnoses, and surgeries. The Coder accurately assigns appropriate codes to patient records, including ambulatory surgery, treatment type admission, observation, emergency room, and outpatient lab/radiology, using ICD-10-CM system and CPT-4 guidelines. Abstracts data elements such as discharge disposition, Consultants, Anesthesiologists, Operating Room Assistants, and verifies the correct status has been assigned to outpatient records. • Communicates with the appropriate HIM staff members when records with missing information are identified. This is in an effort to foster effective health information management and ensure the provision of high quality health care services. • Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion. • Maintains an accuracy rate of not less than 93% based on internal and/or external review and productivity standards, engages in problem identification and resolution, and assists in data gathering and chart auditing. • Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility. • Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services and training sessions as required. When appropriate, the Coder shares his/her own expertise with others in an effort to further the quality of education and personal growth provided to new personnel, volunteers and interning students. • Performs other duties as assigned or requested.

• The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. • Works with coding databases and confirms DRG assignments. • Familiar with standard concepts, practices, and procedures within a particular field. • Relies on instructions and pre-established guidelines to perform the functions of the job. • This position relies on guidelines and some experience and judgment to complete job and works under general supervision.

• Benefits Program Maintenance and Daily Operations • Writes, maintains and supports a variety of reports or queries utilizing appropriate reporting tools. • Ensures that employees who should be eligible for coverage are actually made eligible in a timely and compliant fashion. • Develops employee communication and enrollment plan to ensure compliance with the various notifications and reporting requirements. • Accesses and uses data needed to track and reconcile with the government for those employees who choose to utilize a Public Exchange • Assists in the development of self-service tools for benefits and implementation of company-wide benefit enrollment process. • Integrates automated time and labor management tools, payroll services, and benefits administration to manage assigned hours. • Develops special reports as needed to meet management requests and actively participates in reporting efforts related to benefit programs. • Acts as a liaison with other HR functions and internal/external customers answering complex questions. • Supports benefits training and education by conducting presentations as needed. • Monitors ERP self-service tools and supports HRIS improvement initiatives. • Participates in annual review of all applicable benefit policies to ensure accuracy. • Monitors applicable regulations and maintains records to ensure legal compliance. • Works with vendors to identify issues and develops solutions to complex problems. • Supports HR team on projects as assigned.

• Coding/Program Management • Reviews and audits codes (CPT, ICD 10, HCPC, Level II, and modifier coding, etc) • Is consultant/expert for FMOLHS business office and external agencies in clarification of coding regarding reimbursement infusion issues • Works closely and consistently with major pharmaceutical companies on new drug treatment guidelines/pathways • Advises the executive team on best practices for drug purchase opportunities • Quality and Performance Improvement • Conducts high level audits for coding • Assists Management with evaluation of processes • Conducts and organizes provider peer reviews, physician queries • Analysis and Collaboration • Proactively researches and understands payer issues • Troubleshoots and resolves issues that impact revenue • Acts as a liaison for Professional Billing and FMOLHS Central Billing Office Management

Title: Patient Account Representative 1 - Clinic (Part-time) Location: Baton Rouge United States Onsite Part time Job Identification : 46317 Job Category : Revenue_Cycle Job Description: This position represents the Patient Financial Services department to all customers (patients, vendors, physicians, etc.) and demands the knowledge and practice of customer service excellence. The position is responsible for answering all incoming calls to Patient Financial Services. The position also performs account review and follow-up. #CB - TECHNICAL TASKS - Answers all incoming calls to the Patient Financial Services Office; Investigates questions regarding patient liabilities or forwards information to appropriate person - Ensures appropriate discounts are applied to patient accounts - Assists with posting of adjustment transactions - Works with vendor agencies to ensure customer service and resolution of patient accounts - Returns phone and email customer service messages within 24 hours - Researches and submits refund transactions for patient overpayments - Maintains stock and orders all office supplies for the department - Responsible for efficiently processing all return mail, no backlog - Coordinates bank bag submittal for daily deposit. - Distributes all incoming mail on a daily basis - As needed, revises patient information related to address changes, financial classes, insurance information, billing/follow-up schedules, etc - Works Medicare payment remittance (1500 only) advice by end of week received to identify denied payments and takes action to insure accurate balance for patient, appeals and/or secondary billing - Assures accurate and timely follow-up for financial class MH and financial class 9 accounts via the collector work file utilizing telephone contacts and other resources to determine claim status and takes appropriate action to ensure timely and accurate payments - CRITICAL THINKING - Receives forms and correspondence. Organized daily work activities, balancing demands of volume and priority items - Demonstrates a complete understanding of Insurance Department policies and procedures - Assumes personal responsibility for on-going continuing education and professional development - Always reports any problems with the normal work flow to the Supervisor - Demonstrates a complete understanding of all policies and procedures concerning the responsibilities of the Patient Inquiry position. - Assists other departmental employees by sharing pertinent information on new policies or procedures - NTERPERSONAL RELATIONS - Answers telephone and personal inquiries - Deals effectively with patients, insurance companies and others while always remaining tactful and friendly - Trains other employees as needed - Performs other duties as requested. Education - High school graduate

• Answers all incoming calls to the Patient Financial Services Office; Investigates questions regarding patient liabilities or forwards information to appropriate person • Ensures appropriate discounts are applied to patient accounts • Assists with posting of adjustment transactions • Works with vendor agencies to ensure customer service and resolution of patient accounts • Returns phone and email customer service messages within 24 hours • Researches and submits refund transactions for patient overpayments • Maintains stock and orders all office supplies for the department • Responsible for efficiently processing all return mail, no backlog • Coordinates bank bag submittal for daily deposit. • Distributes all incoming mail on a daily basis • As needed, revises patient information related to address changes, financial classes, insurance information, billing/follow-up schedules, etc • Works Medicare payment remittance (1500 only) advice by end of week received to identify denied payments and takes action to insure accurate balance for patient, appeals and/or secondary billing • Assures accurate and timely follow-up for financial class MH and financial class 9 accounts via the collector work file utilizing telephone contacts and other resources to determine claim status and takes appropriate action to ensure timely and accurate payments • Receives forms and correspondence. Organized daily work activities, balancing demands of volume and priority items • Demonstrates a complete understanding of Insurance Department policies and procedures • Assumes personal responsibility for on-going continuing education and professional development • Always reports any problems with the normal work flow to the Supervisor • Demonstrates a complete understanding of all policies and procedures concerning the responsibilities of the Patient Inquiry position. • Assists other departmental employees by sharing pertinent information on new policies or procedures • Answers telephone and personal inquiries • Deals effectively with patients, insurance companies and others while always remaining tactful and friendly • Trains other employees as needed • Performs other duties as requested.