What are the responsibilities and job description for the Collections Spec. II position at Memorial Hospital of Sweetwater County?
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MHSC is an equal employment opportunity employer and does not discriminate on the basis of gender, age, race, color, creed, religion, national origin, marital status, sexual orientation, gender identity, mental or physical disability or uniformed services status. MHSC is dedicated to fostering an inclusive environment that recognizes the contributions and supports the advancement of all because an inclusive environment can enhance the quality of healthcare, improve hospital/community relations, and positively affect the health status of society. No candidate will be rejected based on any of the above or any disability that, with reasonable accommodation, does not prevent performance of the essential job duties.
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MHSC is committed to the “Planetree” methodology of “Person-Centered Care”. Person-Centered Care is more than hospitality. It is more than amenities and inviting surroundings. Person-Centered Care is an evidence-based framework for improved patient and family engagement, better clinical outcomes, increased staff retention/ recruitment, and high value care. Person-Centered Care creates workplaces that energize and inspire joy. It places patients and caregivers at the center of the care experience and unites communities around health and wellness. This approach also focuses on supporting the professional and personal aspirations of healthcare professionals who can more effectively care for others when they feel cared for themselves.
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JOB SUMMARY
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Accurately and efficiently prepares and submits claims to assigned components of our Accounts Receivable to ensure maximum reimbursement, timely billing, and collection of hospital accounts pertaining to designated sections of accounts. Ensures that all statements and forms are completed accurately and comprehensively. Responsible for identifying and making any changes in our billing procedures to ensure that the hospital remains within Medicare, Medicaid, Workers’ Compensation, and special management guidelines. Effectively manages designated section of accounts in an effort to expedite the collection of hospital accounts. Responsible for meeting all collection goals as established for the designated section of accounts. Responsible for maintaining and managing the UB92 and HCFA 1500 Editor components of our computer system and ensuring that all charges are correctly posting to the correct billing form in a manner that ensures accuracy and compliance with all insurance carriers and entitlement programs. Responsible for maintaining and training office employees to properly operate electronic billing software. Works closely with all billing personnel in an effort to ensure accurate and timely submission of claims. Acts in a supervisory role providing effective and professional leadership to the office staff in coordination with the Director-Patient Financial Services. Responsibilities also include accurately calculating Medicare and Medicaid allowances and ensuring that entitlement programs and insurance carriers are reimbursing the hospital accurately, accepting patient payments, answering verbal or written inquiries, updating patient and account information, accurately processing adjustments and refunds, ensuring that all accounts reside in the proper financial class at all times, completing reports as directed, acts as a role model for office employees by presenting oneself in a courteous, efficient, and professional manner at all times. Must believe in and promote the mission and vision of Memorial Hospital of Sweetwater County.
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JOB QUALIFICATIONS
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Education:
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High School diploma or equivalent and/or technical school with courses in related field
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Job Knowledge and Skills:-
Excellent communication skills, basic computer skills, typing 40 wpm, and knowledge of CPT and ICD-9 coding. Experience in hospital billing preferred.
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