Southern Illinois Healthcare

  • PFS DENIAL-REVENUE CYCLE SPECIALIST

    Posted Date 2 months ago(9/28/2018 2:54 PM)
    Requisition ID
    2018-3199
    Job Locations
    US-IL-Carbondale
    Category
    Administrative
    Position Type
    Full Time
    Shift
    8AM-4:30PM
    Weekend Requirement
    Weekends as required
    Department
    Pt Financial Services-SIMS Adm
  • Overview

    Responsible for assisting Revenue Cycle Coordinator and ensuring denial information is captured, analyzed, monitored and communicated across (SIH).

    Responsibilities

    • Safety
      • Manages processes effectively in regard to employee/patient safety.
    • Record Keeping
      • Maintains all required records, reports, statistics, logs, files and other documents as required.
    • Process Improvement
      • Promotes a culture of process improvement by establishing unit/department based programs that supports the system’s process improvement goals.
      • Actively participates on system-wide or hospital-based teams.
    • Role Specific Responsibilities
      • Collects and analyzes Medical Group denial information and analyzes the denial process to improve target benchmarks.
      • Researches industry benchmarks to establish SIH benchmarks.
      • Provides Physician Fee Schedule maintenance and contract build.
      • Provides support for revenue cycle management and financial operations as needed.
      • Facilitates Revenue Cycle meetings as required.
      • Facilitates the Denial Task Force meeting, preparing all reports and agenda.
      • Assists in managing and monitoring specific reports and billing hold codes.
      • Provides on-going support for legacy system as required

    Qualifications

    Associate's degree required.

    Two years of healthcare revenue cycle experience required.

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