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Accounts Representative - Relief

Company: St. Charles Health System
Location: Bend
Posted on: June 13, 2021

Job Description:

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: Account Representative

REPORTS TO POSITION: Support Services Supervisor

DEPARTMENT: Hospice and Home Health

DATE LAST REVIEWED: January 16, 2020

OUR VISION: Creating America's healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY: The Home Health department provides regional, skilled, medical services to patients that are unable to leave their homes to access medical care. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work, aide, and phlebotomy.

The Hospice Department provides end of life care services to patients and their families. Hospice addresses the physical, emotional, mental and spiritual needs of patient and family from admission through bereavement, utilizing an interdisciplinary approach to care that includes physicians, registered nurses, chaplains, aide's, social workers, volunteers and counselors.

POSITION OVERVIEW: The Account Representative performs all of the functions related to billing and obtaining full reimbursement for Hospice, Home Health and Lifeline accounts. This position does not directly manage any other caregivers

ESSENTIAL FUNCTIONS AND DUTIES:

Work flow, reporting and tracking are managed through multiple designated work queues in the EHR system

Overall office operations and information systems operations.

Verifies Medicare eligibility.

Responsible for monitoring and working EPIC Billing WQ's to meet billing timelines.

Claims processing for accurate, timely submission.

Confirms claim and billing accuracy in multiple designated work queues and processes for payment.

Monitors and tracks Medicare ADR's and denials, notifying leadership of needed action within established timeframes.

Prepares and submits bi-weekly and month end statistical reports and denials within established timeframes.

Collection of accounts. Receives checks, prepares and posts payments, provides deposit and deposit information according to hospital work instruction.

Proactive in tracking and managing past due accounts in designated work queue, minimizing aging AR

Maintains awareness of account status and updates Director/Manager monthly.

Provides excellent customer service when responding to insurance and billing inquiries.

Monitors and pursues past due account, minimizing aging AR.

Lifeline: Responsible for checking Medicaid eligibility, billing and posting payments.

Supports the vision, mission and values of the organization in all respects.

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Provides and maintains a safe environment for caregivers, patients and guests.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION

Required: High school diploma or GED

Preferred: College courses with office or clerical background

LICENSURE/CERTIFICATION/REGISTRATION

Required: Valid Oregon driver's license and ability to meet St. Charles Health System driving requirements

Preferred: N/A

EXPERIENCE:

Required: Minimum two years in data processing, accounting or health care clerical work. Administrative and/or general medical office work with phone skills and computer experience. Thorough knowledge of medical terminology.

Preferred: Knowledge of Hospice/Home Health care and community resources.

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

Skills:

General:

Communication/Interpersonal

Demonstrates St. Charles Health System values of Accountability, Caring and Teamwork in every interaction.

Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.

Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees.

Strong team working and collaborative skills.

Ability to effectively reach consensus with a diverse population with differing needs.

Ability to manage facilitation and consensus building among health care professionals and agencies and achieve expected results.

Ability to work under pressure in a fast-paced environment.

Organizational

Ability to multi-task and work independently.

Attention to detail.

Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.

Strong analytical, problem solving and decision making skills.

Excellent organizational and multi-tasking skills.

Mathematical Skills:

Performs basic math (add, subtract, multiply and divide) calculations.

Language Skills:

Read, write, speak and understand English.

Computer

Basic to intermediate ability and experience in computer applications, specifically electronic medical records system and MS Office.

Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBL's.

PHYSICAL REQUIREMENTS:

Continually (75% or More): Use of clear and audible speaking voice and the ability to hear normal speech levels.

Frequently (51% - 75%): Standing, sitting, walking, lifting 1-10 lbs and keyboard operation.

Occasionally (26% - 50%): Bending, climbing stairs, reaching overhead, carrying 1-10 lbs, pushing/pulling 1-10 lbs and grasping/squeezing.

Rarely (10% - 25%): Stoop/kneel/crouch, lifting 11-25 lbs, carrying 11-25 lbs, pushing/pulling 11-25 lbs and operation of motor vehicle.

Never (Not Included): Climbing ladder/step-stool, lifting 25-50 lbs, carrying 25-50 lbs, pushing/pulling 25-50 lbs and the ability to hear whispered speech levels.

Exposure to Elemental Factors

Frequently (51%-75%): Heat, cold, wet/slippery areas, noise, dust, vibration and uneven surfaces.

Never (0%): Chemical solutions.

Blood-Borne Pathogen (BBP) Exposure Category

No Risk for Exposure to BBP

Schedule Weekly Hours:

40

Caregiver Type:

Relief

Shift:

Is Exempt Position?

No

Job Family:

REPRESENTATIVE

Compensation (min.):

17.08

Compensation (mid.):

21.02/ Hour

Compensation (max.):

24.95/ Hour

Scheduled Days of the Week:

Variable

Shift Start & End Time:

Keywords: St. Charles Health System, Bend , Accounts Representative - Relief, Other , Bend, Oregon

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