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Practice Management Staff

Baptist Memorial Health Care

Starkville, MS

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JOB DETAILS
SKILLS
Analysis Skills, Best Practices, Billing, Budgeting, Claims Processing, Communication Skills, Computer Systems, Computer Workstations, Credit and Collections, Customer Support/Service, Data Entry, Database Management Software/Systems (DBMS), Diagnosis-Related Group (DRG), Establish Priorities, Graphics Software, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Insurance, Interpersonal Skills, Leadership, Organizational Skills, Patient Follow-up, Physical Demands, Problem Solving Skills, Process Improvement, Project Planning, Reimbursement, Resource Utilization, Spreadsheets, Word Processing
LOCATION
Starkville, MS
POSTED
30+ days ago

  • POSITION SUMMARY (Scope/Purpose)


  • Demonstrate leadership and a dedication to process improvement initiatives that result in the achievement of best practice solutions committed to the optimization of net revenues.

  • POSITION QUALIFICATIONS AND REQUIREMENTS


  • Experience/Specialized Skills:

    Three-year minimum experience in healthcare related field preferred. Experience with PC's, word processing, spreadsheet, graphics, and database software applications is desired. Understanding of reimbursement systems, coding strategies, DRG's, DNV standards and HIPAA. Prior experience implementing and maintaining billing and collection systems desired. Outstanding communication skills. Great customer services skills.

    Additional Skill Set Requirements:
    • Strong analytical and organization skills.
    • Excellent interpersonal communication.
    • Proficient understanding of professional claims and billing procedures.
    • Ability to communicate and collaborate with all ancillary departments.
    • Ability to utilize and understand computer technology.
    • Understanding of complex insurance terms and payment methodologies.

    III. STANDARDS OF PERFORMANCE

    Files claims electronically, when possible. Responsible for manual claim submission process.

    Responsible for the research and recommendation of additional payors to set up for electronic claim submission.

    Responsible for implementation of project plan as directed by Practice Management Manager and Director.

    Follow up on denials and under payments from carriers.

    Reports potential issues in clinics to PMM.

    Cross-trained to work in individual clinics as scheduled by PMM.
    PHYSICAL DEMANDS
    Standing/Walking/Sitting - The employee sits for extended periods of time to enter data into the computer system. Changes in position/posture is constant throughout the day and includes workstations at various heights.

    ADDITIONAL PERFORMANCE EXPECTATIONS

    Appropriate utilization of resources (i.e., materials, financial, etc.).

    Effective planning and prioritization of work.

    Demonstration of professional and effective interpersonal skills.

    Proactive personal contribution to meeting departmental (team) goals.

    Support of shared decisions and problem solving recommendations.

    Handles patient inquiries regarding status of accounts. Patients are given prompt, courteous responses to their questions. Inquiries that cannot be answered are referred to the proper person for response. Follow-up to ensure patient needs were met.

    Enter professional charges for providers as needed.

    Assists PM Cashier/Biller. Functions as backup as needed.

    Operates within department budget.

    Recognizes duties, which need to be performed although not directly assigned and performs these duties.

    Supports Director and Supervisor as requested.

About the Company

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Baptist Memorial Health Care