Analyst, Billing & Denial (PFS)
Park Nicollet - Saint Louis Park, MN

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Supports the overall functions of Billing and Post Service Denials while teaming with Operations and other areas of Patient Financial Services to provide an exceptional patient experience with the financial aspects of receiving care at PNHS while achieving maximization of organization’s cash flow through review and reconciliation of accounts receivable balances; improvement of customer satisfaction through effective and compliant billing practices; and maintenance and development of systems to support these efforts. Complies with federal and state insurance regulations and follows payer guidelines to ensure correct billing and appropriate reimbursement. Contributes to continuous quality improvement as it relates to Patient Financial Services to effectively accomplish our role in the organization’s mission. Coordinates for all Billing and Post Services denial patient accounting system maintenance, enhancement, and development efforts to ensure all department objectives are met. Leads documentation, testing, training, and implantation of any system changes. Acts as a liaison between Billing and Post Service denial, Information Management, software vendors, and other customers of the patient accounting system to ensure process improvement and complete understanding of user requirements. Supports patient accounting systems which process 1,381,000 physician encounters, 17,800 hospital admissions and over 50,000 hospital outpatient procedures annually. High school education required. Advanced education preferred or minimum 5 years experience in health care and billing. Strong analytical and troubleshooting skills needed. Demonstrated ability to comprehend system logic and explain it to others needed. Requires high level of detail and organization skills. Two to five years experience with automated accounting or health care billing systems, including experience with system maintenance. This position requires a person who understands and has proven analytical skills as well as strong leadership and communication skills. Billing system knowledge would be extremely helpful. Health care insurance knowledge is required. Understands the interdependencies and interfaces between finance and billing as well as Compliance and HIPAA regulations. This position requires familiarity with medical terminology and coding (both CPT and ICD-9) and focused knowledge of billing, regulations and insurance. Individual must possess proven leadership qualities, strong figure aptitude, verbal and written communication skills, and strong math aptitude. Provides support to Post Service Denial/Billing supervisor and team lead work support.

Additional Information

The Organization

Rooted in suburban Minneapolis, Minnesota, Park Nicollet Health Services (PNHS) is an integrated health care delivery organization. The two largest entities that comprise PNHS are ParkNicolletMethodistHospital, a 426-bed community hospital located in St. Louis Park, and Park Nicollet Clinic, a 500-plus, physician multi-specialty group with 25 offices in Minneapolis and its southern, western, and northern suburbs. PNHS truly is an integrated system, as processes of care are designed and managed across these entities to optimize the delivery of care for the patients and communities served.

Park Nicollet Mission, Vision and Values

Our mission is to care for and support the health, healing and learning of those we serve.

Everyone caring, every day, creating with the individuals we serve, optimal health and greater value.

Excellence is the standard we apply to our work, achieving best possible outcomes and upholding the highest professional standards.

Caring is our heartfelt motivation to serve our patients and create the best possible experience.

Stewardship is our commitment to create ever greater value with the resources entrusted to us.

Joy is what we experience when serving our patients and each other through a job well done.

Learning is the way we continually improve and create knowledge and value that can be shared.

What makes us unique?

Park Nicollet Health Services is a strong, stable and organically grown multi-specialty group practice within the affluent and highly educated western TwinCity metropolitan area. PNHS has a long-standing commitment to quality, proficiency and stewardship, and has embarked on a pioneering effort to study, adopt and integrate the Toyota Production System’s Lean Methodology (Kaizen), enhancing previous gains realized from its Six Sigma efforts. Although PNHS has developed and engaged in strong business partnerships with local competitors, having a single hospital focus adds to its list of strengths and advantages. PNHS was one of the first integrated healthcare systems in the nation to adopt a unit medical record that is now electronic and ubiquitous.

Park Nicollet - 2 years ago - save job
About this company
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Park Nicollet Health Services is a nonprofit, integrated healthcare system located in St. Louis Park, Minnesota, with more than 8,200...