Phoebe Putney Health System Hiring for Denials Coordinator – Patient Accounting at Albany, GA Full Time

JOB SUMMARY:

• Responsible for coordinating the denial and appeal process in conjunction with care management staff and the Business Office, meeting goals and timelines for appeals, and tracking outcomes.

GENERAL REQUIREMENTS: In search of someone to join our Patient Accounting Department that has billing and denial management experience. This individual should have experience with insurance billing with Commercial and Government payers.

• Adheres to the hospital and departmental attendance and punctuality guidelines
• Performs all job responsibilities in alignment with the core values, mission and vision of the organization
• Performs other duties as required and completes all job functions as per departmental policies and procedures
• Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
• Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
• Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.
• Wears protective clothing and equipment as appropriate.

WORKING CONDITIONS

• General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
• May be exposed to limited hazardous substances or body fluids, or infectious organisms.
• May be required to change from one task to another of different nature without loss of efficiency or composure.
• Periods of high stress and fluctuating workloads may occur.
• May be scheduled as needed including overtime

Qualifications

EDUCATION REQUIREMENTS

• 4-year / Bachelor’sDegree in Business Administration or a closely related field (Perferred)
• 2-year / Associate Degree in Business Administration or a closely related field. In lieu of an Associate’s Degree, a High School Diploma, and a minimum of 8 years of experience in the Revenue Cycle with experience with analytics and denials. (Required)

EXPERIENCE REQUIREMENTS

• 2 – 3 years in a Health Care data analytics and/or application support (Required)
• 8+ years of experience in the Revenue Cycle experience with a concentration in Patient Accounting to include billing, follow-up, denials, and denial recovery. (Required)

CERTIFICATIONS AND LICENSURES

• Required Certifications/Licensures: CPAR Certification must be obtained within 20 months of hire.

GENERAL SKILLS

• Organizational Skills
• Communication Skills
• Interpersonal Skills
• Customer Relations
• Mathematical
• Analytical
• Grammar / Spelling
• Read / Comprehend Written Instructions
• Follow Verbal Instructions
• Transcription
• Mechanical
• Basic Computer Skills
• Microsoft Office Suite
• General Clerical Skills

PHYSICAL REQUIREMENTS

• Have near normal vision – Clarity of vision (both near and far), ability to distinguish colors
• Have good – manual dexterity and eye-hand-foot coordination
• Ability to perform – repetitive tasks/motion

PHYSICAL DEMANDS

• Standing – Occasionally within shift (1-33%)
• Walking – Occasionally within shift (1-33%)
• Sitting – Continuously within shift (67-100%)
• Climbing – Occasionally within shift (1-33%)
• Bending/Stooping – Occasionally within shift (1-33%)
• Twist at waist – Frequently within shift (34-66%)
• Pushing/Pulling – Occasionally within shift (1-33%)
• Lift/carry up to 20 lbs – Occasionally within shift (1-33%)
• Lift/carry > 20 lbs with assistance – Occasionally within shift (1-33%)
• Reaching above shoulder – Occasionally within shift (1-33%)