Hurley
Remote Jobs
2 Jobs
Role Description Under general supervision, is responsible for accurate and timely billing of all charge sessions for physician professional services to all third party payers and patient self-pay accounts. This includes: - Reviewing the charge sessions / encounters - Entry of charges into the accounts receivable system - Corrections to third party claims, as needed, to ensure timely reimbursement for physician professional fees - Performing follow-up on aged receivables to determine cause of delayed payment - Performing all necessary actions to resolve outstanding balance - Reviewing initial denials to determine next steps - Responding to billing concerns and working to prevent future denials by communicating with revenue cycle leadership about root causes - Participating in development of staff education and process changes relative to authorizations, coverage, and denials - Participating in quality assessment and continuous quality improvement activities - Complying with all appropriate safety and infection control standards - Performing all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior Works under the supervision of a departmental director or designee who reviews work for accuracy and conformance to standard procedures. May direct the work of clerical employees of a lower grade. Company Description
In conjunction with other Information Technology staff, documents, configures, tests, and implements new and existing computer systems. Provides clinical practice knowledge and experience to system design teams. Translates user requests into system designs, utilizing knowledge of the nursing, patient care, provider, and ancillary department and physician processes. Provides technical and clinical input to a number of small project teams, coordinating work plans and activities, data collection, and issue identification and/or resolution. Scope of responsibility may include several individual departments, projects of moderate complexity that require coordination across multiple functional areas and sub-tasks within more complex projects. Primary, but not exclusive, area of concentration is on clinical systems and the workflow inherent to them. Participates in all quality assessment and continuous quality improvement activities. Complies with all appropriate patient safety and infection control standards. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Medical Center's Courtesy Performance Standards. Job assignments may be appropriate for partial remote work. May require on call duties. Works under the supervision of a departmental director or designee who reviews work for effectiveness and compliance with established standards. May provide limited direction to a small number of employees in information technology.