Hours: Monday - Friday, 40 hours/week
Location: Jamestown, NC
Associates - Required in Business Administration, Accounting, Healthcare or related field
EPIC Proficient, Credentialed, or Certification in Cadence, Prelude or PB Resolute within 1 year of hire
EPIC credentialed or Certified in PB Resolute, Cadence or Prelude upon hire
Acts as a liaison between Central Business Office and professional billing sites. Responsible for building relationships with leadership of CBO and provider sites to accomplish established goals of organization, as related to revenue cycle outcomes. Must have a thorough knowledge of revenue cycle and clinic operations to readily identify trends and workflows that are impacting successful revenue outcomes. Must have a high level of integrity and be able to prioritize workload.
MAJOR WORK ACTIVITIES:
Clinic Support - Coordinates with all professional fee billed sites (MD offices, clinics and other programs) billed through Cone HealthLink as to the appropriate entry of visit registration, payer designation and charge entry. - Schedules routine site visits to support in the resolution of any issues end users may be encountering as related to PB revenue cycle functions - Serves as a resource to practices for educating staff on accurate and appropriate revenue cycle workflows in coordination with PB Instructional Designer and education team - Provide documentation of site visits and findings to clinic and Pro Fee Revenue Cycle leadership - Responsible for the followup of revenue cycle related issues and communicating resolution of issue to sites - Responsible for promoting a positive attitude amongst end users and CBO staff members 25 %
Pro Fee Business Office Support - Acts as a liaison between practices and Central Billing Office leadership to identify and resolve issues related to claim processing, claim payments and denial resolution as related to workflows in clinics that can be improved for better revenue cycle outcomes - Communicates IT system issues to Central Business Office leadership and Information Systems to be added to Task Force Agenda Items and Project List. Serve as resource to IT teams for tracking and testing system \u201cfixes\u201d to these reported issues - Participates in resolving difficult account matters and/or customer staff situations by analytically applying the health system policy and procedures. - Reviews end users issues, workflow problems and provide updates to team leaders of identified issues and trends. - Assist end users with questions regarding resolution of errors in workqueues - Prepares variances reports as needed, implementing changes in order to eliminate ongoing variances 25 %
Training - Work in coordination with PB Instructional designer to provide instruction to end users as needed when identified user performance is hindering successful revenue cycle flow - Perform as Super User for Prof Fee Revenue Cycle initiatives when additional elbow support is needed in clinics to accomplish initiative rollouts 15 %
Communication - Provides communication to Central Business Office leadership regarding identified trends that need to be resolved to ensure optimal revenue cycle outcomes. - Provides communication to clinics regarding changes in processes, system workflows or other items that pertain to revenue cycle functions - Keeps applicable teams and team members involved in any changes that may affect
workflow or revenue cycle outcomes. 20 %
Compliance - Maintain current working knowledge of changes in health care reimbursements. - Attends seminars and weekly staff meetings. - Follows all Corporate Compliance Rules and Regulations. - Follows all HIPAA regulations without exception. 15 %
Occurs under one-third of the time:
Exposure to bloodborne pathogens
Hazardous waste and/or toxic/caustic chemicals
Fumes or airborne particles
iCARE - COMMITMENTS TO CARE:
I will create and engage in conversations of possibility.
I will be open to innovation and creativity.
I will listen to understand.
I will bring ideas for solutions and be open to alternative ideas.
I will be open to constructive feedback.
I will not engage or listen to negativity or gossip.
I will be positive when speaking about Cone Health, my department, and my coworkers.
I will be approachable.
I will focus on behaviors, not the person, during conflict.
Accountability I will honor my word.
I will do what I say when I say I will.
I will \u201cclean it up\u201d when I can\u2019t keep my word.
I will honormy work agreement.
I will be \u201con the court\u201d instead of \u201cin the stands.\u201d
I will follow up in a timely manner on commitments and requests.
I will apologize when someone experiences less than excellent service.
I will take responsibility for my actions, decisions and performance.
I will protect patient safety (best practices: ex \u2013 hand hygiene).
I will assume the best of intentions and embrace differences.
I will collaborate and seek other people\u2019s input.
I will demonstrate courtesy, compassion, and respect with my tone of voice and body language.
I will speak positively about Cone Health \u2013 managing up coworkers, physicians, departments, patients and visitors.
I will ask the person directly involved when I don\u2019t know.
I will include diverse skills, abilities, strengths, and backgrounds to create better outcomes.
I will care for myself while also respecting others.
I will own it, solve it, and celebrate it!
I will offer solutions when problems are identified.
I will share my input for decisions by participating in forums such as shared governance, town halls, employee engagement survey, brown bag discussions, employee councils, staff meetings, or directly with my manager.
I will take charge and do the right thing at the right time.
I will make decisions keeping a balance of service, quality, and cost in mind.
I will demonstrate Cone Health values.
I will seek opportunities to celebrate and have fun.
I will recognize good work.
I have seen and reviewed the job description in its completed form and understand that I will be required to perform all functions listed if hired for this position. I recognize that, if hired, it is my responsibility to notify my manager as soon as possible if I am unable to perform any of the functions of my position for any reason. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.
Exceptional People Providing Exceptional Care!
Cone Health is a state of the art network of facilities providing patients access to the latest developments in medical care from their first moments of life through later years. Our network offers the most breakthrough treatments and technology available in healthcare today. As a teaching hospital, we offer employees the opportunity to become leaders in the industry and continued growth from their first day on.
Extraordinary patient care is about being \u201chigh-touch\u201d as well as \u201chigh-tech\u201d. Community service and superior patient care are the cornerstones of our organization, a philosophy that is demonstrated by each and every one of our valued team members. We are proud to be the largest private, not-for-profit employer of choice in the Piedmont, NC area community!
Cone Health is an equal opportunity employer. If you require assistance with our online job submission process, please contact our Talent Acquisition team at 866-266-3767 to request an accommodation. Additionally, Cone Health invites interested deaf and hard of hearing applicants to use Video Relay Service (VRS).
3 years\u2019 experience working in Professional Fee Billing Environment and Physician Practice Operation
5+ years' experience in Professional Fee Billing Environment or Physician Practice Operations
KNOWLEDGE, SKILLS, AND ABILITIES:
Oral and Written Communication Skills
Ability to communicate effectively through both oral and written formats.
MS Word - basic knowledge
Excel - basic knowledge
Additional information on Knowledge, Skills, and Abilities
Excellent verbal and written communication skills required.
Ability to communicate effectively with physicians, patients, employees and outside customers.
Must have extensive knowledge of clinic operations and relation to revenue cycle outcomes
Comprehends medical terminology
Strong customer service skills
Excellent organizational skills
Considerable knowledge of rules, regulations and procedures of third party insurance
Proficient in Word, Excel and Power Point
Word - Intermediate
Excel - Intermediate
Additional testing required:
**Must successfully pass a written Knowledge Skills test.**
Exerting up to 10 pounds of force occasionally (up to 1/3 of the time) and/or; a negligible amount of force frequently (1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Job are sedentary if walking and standing are required only occasionally and all other
sedentary criteria are met.
Hear and differentiate low volume sounds in order to make judgments regarding actions needed
Hear alarm bells, verbal conversations, telephone voices and normal volume sounds
Close vision (clear vision at 20 inches or less)
Distance vision (clear vision at 20 feet or more)
CONDITIONS OF EMPLOYMENT
* Annual flu shot
* Annual TB test (if applicable to your job location)
* Annual HLCs (Healthstream, formerly CBL)-Safety at Work and Corporate Compliance
* Maintain licensure/certification/registry/listing (if applicable to your job)