FS PERFORMANCE SPECIALIST/A - MEDICAL CENTER FINANCIAL SVCS

Status: PRN - As Needed

Shift: 8 am - 4:30 pm

Exempt: No

Summary:

Responsible for the analysis of billing to ensure billing guidelines both in EPIC and ePremis are followed including process improvement of the work flow to reduce denials and increase cash flow for the facility.

Other information:

1. Minimum of one to three years' experience and working knowledge of hospital billing practices. Knowledge of hospital reimbursement and general knowledge of accounts receivable.2. Specialized or Technical Education Required:Excellent skills in excel, Word and Power Point required.3. Manual or Physical Skill Required:4. Physical Effort Required:Strength: SedentaryPush: OccasionallyPull: OccasionallyCarry: OccasionallyLift: OccasionallySit: ConstantStand: OccasionallyWalk: Occasionally

Responsibilities:

1. Analyze hospital and professional billings to ensure Medicare, Medicaid and Managed Care billing guidelines are followed.2. Ensure bills are consolidated appropriately. This includes in compliance with seventy two hours, twenty four hours, CMR combined billings and other requirements by Payers.3. Analyze processes to streamline the billing and collection processes in MCFS department. Provide written workflow documentation and training materials for staff education.4. Coordinate with other departments to reduce denials, medical necessity adjustments.5. Assists Manager and Director in developing procedures to maintain consistent billing, payment posting and collection process and workflows.6. Prepare reports to assist MCFS staff in identifying and analyzing issues in billing and collections.7. Make recommendations based on substantiated analysis, trend analysis, and data collection sand statistical process control methodologies.8. Take proactive and initiative to work with departments to resolve issues and concerns in billing process and accuracy.9. Identify process improvement opportunities, including elimination and /or reduction of inefficiencies and redundancies.10. Obtain and maintain knowledge of EPIC and other billing software systems. Serve as systems educator for the MCFS for all computer systems, including but not limited to EPIC, ePremis, Allscripts, MedAssets, etc.11. Perform focus audits in billing monthly and report the results to Compliance Department as to the appropriateness in billing compliance.12. Perform other duties as assigned by the Manager or Director.13. Follows North Oaks Health System's compliance programs and all federal and state regulatory guidelines: