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Posted: Monday, January 8, 2018 5:13 AM

Reviews, researches, and resolves payment variances to minimize inappropriate payment variances from expected reimbursement, processes payments/refunds/adjustments to comply with regulatory timeframes and in accordance with contracts and policies, and ensures that all potential liabilities are paid in a timely and accurate fashion.

Supports the success of a high-performing shared services organization by helping to champion and drive the long-term Sutter Shared Services vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Participates in programs and in using tools in support of building a high performance culture via the standard Sutter Shared Services responsibilities (e.g. performance measurement, people development, customer relationship management, etc.).

Education

AA/AS degree in Business or Accounting or equivalent combination of education and experience required. Certified Billing & Coding Specialist desired.

Experience

* Proficiency in MedSeries4 (MS4) is required.

* Demonstrated experience and a proven track record in Payment Variance in a facility of significant size and complexity, hospital business operations, information systems, and patient accounting applications, as typically acquired in 0-2 years of acute hospital patient accounting positions

* Experience participating in Payment Variance standards, processes, policies, procedures and service level agreements

* Experience in complex regional/ shared service environment with multiple/ matrix reporting relationships desired

Knowledge

* In-depth knowledge of various insurance documentation requirements, the patient accounting system, and various data entry codes to ensure proper service documentation and billing of the patient's account

* Knowledge of insurance and governmental programs, regulations and billing processes (e.g., Medicare, MediCal, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), commercial third party payers, managed care contracts and coordination of benefits

* Familiarity with medical terminology and the medical record coding process

* In-depth knowledge of Revenue Cycle applications, including Hospital Patient Accounting

* In-depth knowledge/ awareness of all areas related to Payment Variance and how they interrelate

* Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections

* Familiarity with Payment Variance management functions in acute and non-acute settings

* Knowledge of Patient Management information system applications, preferably EPIC

Skills

* Ability to execute strategy and communicate knowledge of business processes and enabling technologies, specifically in a Payment Variance function

* Ability to comprehend and retain information that can be applied to work procedures to achieve appropriate service delivery

* Data entry skills (minimum 50-60 accurate keystrokes per minute)

* Requires strong accuracy, attentiveness to detail and time management skills

* Aptitude to conceptualize, plan, and implement stated goals and objectives

* Ability to independently set and organize own work priorities for self, and successfully adapt to new priorities as part of a changing environment. Must be able to work concurrently on a variety of tasks/projects in an environment that demands a high degree of accuracy and productivity in cooperation with individuals having diverse personalities and work styles

* Ability to communicate and work with patients, physicians, associates, Sutter Health leadership, multiple direct patient care providers and others in order to expedite the patient accounting process. Strong communication skills (verbal and written) in dealing with trainees, associates, and internal/external customers

* Ability to comply with Sutter Health policies and procedures

* Excellent ability to identify, prioritize, resolve and / or escalate complex problems promptly

* Excellent ability to establish, develop and manage customer relationships

* Ability to learn new applications/software systems effectively and efficiently

* Ability to communicate ideas both verbally and in writing to interact with others using on-on-one contact, formal presentations, and group discussions

* Ability to recognize the appropriate style, level of detail, and message for the audience

* Ability to develop effective working relationships/ networks within and outside the organization

* Skills using spreadsheet, word processing, and basic statistical software applications, preferably Microsoft Suite

* Well-developed process design, implementation, and improvement skills

* High-level problem identification/ mitigation/ resolution and analytical skills

* Requires the ability to work with and maintain confidential information

SDL2017


Associated topics: executive team leader, fire captain, gerente, lieutenant, manager, manager in training, police chief, project manager, shift supervisor, supervisor

Source: http://www.jobs2careers.com/click.php?id=4643126626.96


• Location: Sacramento

• Post ID: 21335102 sacramento
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