WI3665636

1

High School Diploma/GED

High School Diploma/GED Equivalent

Unspecified

40

JOB REQUIREMENTS: Overview Team Lead, Patient Financial Services, Days,
80 Hrs / wks Location: MercyCare Bldg; Janesville, WI or Rockton Ave
Campus; Rockford, IL. Hybrid schedule opportunities available after
probationary period. Works in collaboration with the leadership team on
communicating follow-up policies, procedures and providing department
workflow training to all partners. Conducts performance audits and
provides respective partner feedback along with additional training as
needed to help support in partner development. Works all advanced
functions within Epic and performs other duties as assigned.
Responsibilities Serves as A Subject Matter Expert (SME) with regards to
the insurance follow-up processes and the respective Patient Financial
Services Follow-up role, maintaining an advanced knowledge of payor
updates including Federal and State guidelines, department workflows and
resources needed to resolve payor rejections and troubleshoot identified
denial trends. Knowledgeable in the Single Billing Office (Both Hospital
Billing and Professional Billing) environment within Epic. Conducts and
manages all department workflow training for new hires to ensure the
90-day standards are successfully met. Escalates and follows-up with
various Mercyhealth departments on any open and unresolved items to
assure timely submissions on outstanding claims Monitors and works
interdepartmental communication work queues to help ensure timely
follow-up and resolution to department/patient open items. Investigates
and works identified payor trends to help present a recommended
resolution to improve payment outcomes. Develops written workflows and
job aids to help provide additional resources to Follow-Up
Representatives. Partners with the Revenue Cycle Training department to
host shadowing sessions for new partner orientations to help aid in
sharing general knowledge about the role and impact it has within the
revenue cycle. Assists with the review and approval of department
adjustment requests, ensuring appropriate follow-up was completed and
correct adjustment codes were selected, providing partner feedback where
applicable. Researches and provides ongoing partner education regarding
regulatory compliance and requirements for claim submission. Ensures
accurate and timely completion of daily tasks and projects. Works with
the supervisor to develop and maintain individual and work group
statistics that measure quality and productivity. Performs partner
audits on a regular basis to ensure quality and accuracy of partner work
product When applicable, identifies and takes appropriate action to
resolve problems to ensure that Mercyhealth obtains expected
reimbursement. Brings workflow discrepancies to the attention of a
supervisor or manager. Provides daily support to work group partners
by\... For full info follow application link. EOE&AA/M/F/Vet/Disabled.
Mercy is an equal employment opportunity employer functioning under
Affirmative Action Plans. \*\*\*\*\* APPLICATION INSTRUCTIONS: Apply
Online: ipc.us/t/F683B713D90B4235