Job Description

Location: Steward Health Care
Posted Date: 11/22/2021

This position is subject to the COVID-19 Vaccination Policy for Steward Health Care Workforce. Employees in this position will be required to provide adequate proof of vaccination for COVID-19 by an FDA-approved vaccine prior to starting work. Steward will consider requests for exemptions from this vaccine requirement on the basis of medical condition or sincerely held religious belief in accordance with applicable Federal laws.

KEY RESPONSIBILITIES

  • Drive increased performance improvement and efficiency in Revenue Cycle Services through productivity & quality reviews and audits
  • Serve as a liaison between rev ops manager and team
  • Assist with timely and accurate sample selection and preparation of daily work assignments for auditing and review for accuracy, quality, and appropriate resolution for multiple departments across the Revenue Cycle
  • Maintains monthly auditor scorecard and provides routine performance feedback; coaches auditors on required improvement initiatives
  • Ensure consistent delivery and application of Revenue Cycle workflows
  • Assist with secondary reviews of audits to ensure calibration
  • Assists with coordinating with CBO & vendor management, and training leadership as required to develop and monitor action plans to resolve performance gaps identified through the audits
  • Assist in preparation of weekly and monthly performance audit summary reports
  • Assist in resolving audit rebuttals from CBO management
  • Identify, trend, track and monitor Revenue Cycle team performance and adherence to policies, procedures, and performance expectations
  • Report findings to Revenue Cycle management and work in coordination with leadership to identify system deficiencies and problems with the goal to resolve and implement solutions, new processes, and training materials
  • Develop spreadsheets, charts, graphs and other quality related statistical analysis and reporting functions for both internal and external customers and clients
  • Comply with and adhere to all regulatory compliance areas, policies and procedures, and leading practices
  • Complete and/or attend mandatory training and education sessions within approved organizational guidelines and timeframes
  • Escalate issues, concerns, and/or other items to leadership as appropriate
  • Maintain HIPAA and PCI compliance requirements
  • Deliver internal and external customer experiences

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

  1. Education: High school graduate
  2. Experience (Type & Length): 2-3 years’ experience with medical billing/collection; hospital billing experience preferred; experience within a healthcare consulting firm or large company preferred; 3-5 years of relevant work experience.
  3. Software/Hardware: Microsoft Office suite; experience with patient accounting systems and billing/claims software; Meditech experience required.

Application Instructions

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