Coordinates all relevant data collection necessary to obtain proper reimbursement to the organization from individuals and third party payers. This includes billing and collection of accounts receivable, counseling of indigent patients and interpretation of third party regulations.

Responsibilities

• Provide effective daily supervision of the work unit. • Coordinate and control work flow. • Monitor productivity through various reports and through direct observation of staff. • Compile, maintain and submit various management reports. • Determine methods and direct resolution of problem accounts. • Maintain effective communication between the assigned unit and other units, departments and outside organizations. • Ensure that employees are kept up to date on issues affecting operations. • Interpret insurance policy provisions for claim adjudication. • Interpret and apply credit and collection laws and regulations to Patient Accounts activities. • Interpret and communicate to staff billing procedures contained in the Medicare Claims Processing Manual, UB-04 Billing Manual, and other billing manuals and contracts as required. • Recommend policy and procedure changes and implement such changes. • Make decisions and solve problems as they relate to the assigned area of responsibility. • Exceptional situations are referred to Accounts Receivable Manager • Maintain an ongoing professional relationship with other departments in order to accomplish daily objectives • Act as a liaison to CAMC subsidiaries as needed. • Reinforce employee understanding of work integration with other departments throughout the institution.

Knowledge, Skills & Abilities

Patient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department’s identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients. Competency Statement Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist. Common Duties and Responsibilities (Essential duties common to all positions) 1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations. 3. Comply with the company's attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution. 5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations. 7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable. 9. Perform related duties as assigned.

Education

• Associate's Degree

Credentials

• No Certification, Competency or License Required

Work Schedule: Days

Status: Full Time Regular

Location: General Hospital

Location of Job: US:WV:Charleston

Talent Acquisition Specialist: Chet A. Harless chet.harless@camc.org