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The Manager-Billing provides direction and management to staff responsible for productivity and collections from government and commercial payers. Collaborates with the overall physician and hospital revenue cycle department to meet the metrics, mission, vision and values of the BMG organization.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Assists with development of all billing department's priorities, procedures and policies for BMHCC, BMG and its Foundations. Determine appropriate and effective performance metrics and staff requirements for the department to run with efficiency, accuracy and outstanding customer service.
- Develops processes and procedures for the efficient and successful flow of interdependent information between the third party billing vendors, both government and commercial.
- Designs and executes key strategies to drive collection of earned reimbursement.
- Develops processes and policies for appeals and denials.
- Oversees and manages the daily performance of their reporting staff.
- Monitors insurance accounts receivable activity and performance and initiates appropriate corrective measures as needed, as well as monitoring all departmental processes to ensure compliance with performance metrics. Proactively identify and assess trends and aberrations then proposing a course of action to the leadership team.
- Monitors billing compliance with all third party payer regulations.
- Ensures that customer satisfaction is achieved through courteous and effective communication, problem solving and efficient processes.
- Resolves complex patient, physician and other patient issues when necessary.
- Promotes a team-oriented environment that fosters effective collaboration within and outside of the department.
- Hires, coaches and motivates team; Implements and monitors staff productivity and service performance metrics.
- Maintains confidentiality in compliance with HIPAA regulations and ensures that department remains compliant with all relevant regulations.
- Improve the operational systems, processes and policies in support of organizations mission -- specifically, support better management reporting, information flow and management, business process and organizational planning.
- Manage and increase the effectiveness and efficiency of Shared/Support Services through improvements to each function as well as coordination and communication between support and business functions.
- Play a significant role in long-term planning, including initiatives geared toward operational excellence.
- Responsible for maximizing reimbursement, meeting established clean claim rates and timely resolution of payer suspended and/or rejected claims.
- Perform any other related duties as required or assigned.
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Provides patient care as directed and is accountable for own actions under provided direction. Provides a caring relationship that facilitates health and healing and delivers care in a manner that preserves and protects patient autonomy, dignity and rights. Performs other duties as assigned.
Collects patient data.
Assists in planning patient care.
Implements patient care as directed.
Administers medication as prescribed.
Provides and reinforces the teaching of individuals and groups of patients.
Participates in activities designed to improve health care delivery.
Participates in ongoing educational activities.
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The main objective of this position is to ensure correct processing of all insurance claims of all hospital. Able to interpret & implement specified insurance billing guidelines. Coordinates all facets for insurance billing. credits and collection of A/R. This role ensures duties are completed accurately and timely while acting as a team player for optimum office flow and excellent patient service.
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Provides patient care as directed and is accountable for own actions under provided direction. Provides a caring relationship that facilitates health and healing and delivers care in a manner that preserves and protects patient autonomy, dignity and rights. Performs other duties as assigned.
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Provides patient care as directed and is accountable for own actions under provided direction. Provides a caring relationship that facilitates health and healing and delivers care in a manner that preserves and protects patient autonomy, dignity and rights. Performs other duties as assigned.
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Provides patient care as directed and is accountable for own actions under provided direction. Provides a caring relationship that facilitates health and healing and delivers care in a manner that preserves and protects patient autonomy, dignity and rights. Performs other duties as assigned.
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Assess, plans, coordinates and implements the recreation program. Performs other duties as assigned.
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Provides patient care as directed and is accountable for own actions under provided direction. Provides a caring relationship that facilitates health and healing and delivers care in a manner that preserves and protects patient autonomy, dignity and rights. Performs other duties as assigned.
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Works under the direct supervision of the pharmacist in providing pharmaceutical care services, while considering patient specific factors, through the prioritization and processing of medication orders, the preparing of medications for dispensing, distribution and stocking of patient care locations for subsequent drug administration. Performs data collections, assembly and interpretation for limited quality programs. Performs other duties as assigned
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Works under the direct supervision of the pharmacist in providing pharmaceutical care services, while considering patient specific factors, through the prioritization and processing of medication orders, the preparing of medications for dispensing, distribution and stocking of patient care locations for subsequent drug administration. Performs data collections, assembly and interpretation for limited quality programs. Performs other duties as assigned
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To collect blood samples, perform whole blood glucose testing, and perform EKG's in a timely and accurate manner. Performs all other duties as assigned.
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To provide individualized nursing care to patients, utilizing the nursing process in accordance with the policies and procedures of the Medical Center. Performs all other duties as assigned.
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Maintains patient and non-patient care areas, within the hospital, and keeps them in a safe and attractive condition. Actively participates in department quality/performance improvement activities and demonstrates appropriate policies and procedures. Performs other duties as assigned.
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Perform routine clinical laboratory analyses; recognize problems, identify basic causes, and make corrections by using present strategies; correlate data based on knowledge of technical and instrumental conditions affecting test results; perform quality control procedures within predetermined parameters. Performs all other duties as assigned.
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Maintains patient and non-patient care areas, within the hospital, and keeps them in a safe and attractive condition. Actively participates in department quality/performance improvement activities and demonstrates appropriate policies and procedures. Performs other duties as assigned.
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Maintains patient and non-patient care areas, within the hospital, and keeps them in a safe and attractive condition. Actively participates in department quality/performance improvement activities and demonstrates appropriate policies and procedures. Performs other duties as assigned.
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Maintains patient and non-patient care areas, within the hospital, and keeps them in a safe and attractive condition. Actively participates in department quality/performance improvement activities and demonstrates appropriate policies and procedures. Performs other duties as assigned.
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Coordinates and facilitates business functions in support of physician services and referral development department to include: processing patient referrals accurately and efficiently through data entry and with established productivitiy guidelines and tools; gerneration of reports, communication and follow up with physican office staff and patients, problem resolution and service recovery.
- Review all incoming referrals and schedule appointments for various practices and specialities
- Communicates referral information and confirmation with patients and referring physican/office staff.
- Maintains strong working relationships with internal and external customers by providing service assistance and open communication.
- Review and submit all medical records related to referral appointments as requested by physicans.
- Perfom duties as assigned.
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To provide individualized nursing care to patients, utilizing the nursing process in accordance with the policies and procedures of the Medical Center. Performs all other duties as assigned.
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Provides patient care as directed and is accountable for own actions under provided direction. Provides a caring relationship that facilitates health and healing and delivers care in a manner that preserves and protects patient autonomy, dignity and rights. Performs other duties as assigned.
