Serves as subject matter expert in all billing and revenue cycle transactions for assigned clinic locations.
Provides training and education to clinics as well as PPSI employees.
Essential Duties and Responsibilities:
Include the following
. Other duties may be assigned.
Provides training and education to all clinic staff through the use of onsite training presentations and remote Webinars
Assists in onsite support for “Go Live” operations and participates in “Post Go Live” support
Serves as trainer / proctor for CBO new hires. Provides continuing education to all staff as regulations and requirements change.
Creates documentation and educational material for use in staff training
Function as a Super User of the practice
Acts as the Subject Matter Expert and resource to all team members; serves as a back-up when the supervisor is unavailable
Participates in the process of interviewing and selecting candidates within the Peer Interviewing Process
Reviews workflow dashboards and AR aging reports with the designated clinic personnel to identify trends in Key Indicators that impact the clinics financial performance
Researches, identifies, and rectifies any circumstances affecting delayed submission of insurance accounts or payment of accounts; Provides feedback / education to clinic staff to prevent reoccurrence of these issues.
Provides training related to PPSI/CHS policies, procedures and practice management system to clinic personnel
Accurately and completely documents all communications, trainings and other transactions between the clinic staff and PPSI
Maintains current knowledge base of all Federal and state billing regulations and guidelines
Demonstrates a positive and professional demeanor in all interactions with clinic employees, corporate personnel, and other associates
Identifies opportunities for improvement within the clinic operations as well as CBO work flow processes
Prepares, reviews reports and documents with appropriate staff as required
Demonstrates ability to identify issues outside work flow process and escalates them when necessary
Ability to conduct “root cause” analysis as a result of trends within the key performance indicators.
This position may require 0-25% of travel
This job has no supervisory responsibilities
To perform the job successfully, an individual will demonstrate the following competencies:
- Collects and researches data; Uses intuition and experience to interpret the data collected. Possesses a solid attention to detail to ensure accuracy of information
- Responds promptly to customer needs in a professional manner
- Maintains confidentiality of all patient information and company documents
Oral / Written Communication
– Conveys information in an effective, coherent and courteous manner in both oral and written communications. Speaks clearly and persuasively, is an active listener and obtains clarification as needed, responds appropriately to questions. Writes clearly and informatively; Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information. Able to communicate well with all levels of staff and management.
- Approaches others in a tactful manner. Demonstrates respect and consideration for all people without regard to their status or position. Maintains positive business relationships.
- Demonstrates accuracy and thoroughness
- Meets performance and / or productivity standards
- Adapts to changes in the work environment
- Is consistently at work and on time
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Ability to function independently and effectively in a self directed environment.
Ability to define problems collects data, establish acts and draw valid conclusions. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience Preferred:
High school diploma or general education degree (GED); 5 years of revenue cycle management with a general knowledge
of ICD9 and CPT coding
; or equivalent combination of education and experience.
High school diploma or general education degree (GED)
Some college course work preferred
5 years healthcare revenue cycle experience or
2 years employment within the organization in a similar role
Ability to read and comprehend simple instructions, short correspondence, and memos.
Ability to write simple correspondence.
Ability to effectively present information in one-on-one and small group situations.
Ability to apply common sense understanding to carry out detailed written or oral instructions.
Must be detail oriented; possess a strong work ethic with problem solving skills and demonstrated Team work skills.
To perform this job successfully, an individual must have strong keyboarding skills,
working knowledge of Microsoft Office (Word / Excel) as well as practice management systems.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to
. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus.
Business Office Support
TN-Franklin (Nashville Region)
Forecasted paid hours per shift
Forecasted hours per pay week
Community Health Systems - 14 months ago