Independently operates, tests, updates and coordinates staff training on the multi-user data systems across all Independence Health System.

Essential Job Functions

• Collaborates with Mental Health management to develop, monitor, maintain and update department's data information system, scheduling system.
• Consistently monitors current insurance guidelines.
• Expedites the updating of data programs to coincide with new guidelines and coding master.
• Performs needed updates to master schedule.
• Coordinates multi-user data network across the Independence Health System Behavioral Health campuses.
• Trains department staff when indicated.
• Provides working resources, i.e., procedures, graphs, tables and flow charts.
• Provides technical support for the daily operation of the department.
• Troubleshoots any PC related problems.
• Serves as a liaison between hospitals IT Department and Behavioral Health Department.
• Reviews completed projects/programs to ensure goals and objectives are met.
• Monitors current procedures to determine compatibility across campuses.
• Retrains staff when necessary to obtain and maintain goals and objectives.
• Verifies that correct diagnosis is entered on each account.
• Updates diagnosis codes when indicated by clinician.
• Reviews chart for proper diagnosis when necessary.
• Maintains database of current diagnosis for each patient.
• Coordinates Managed Care Authorization procedure.
• Maintains working relationship with insurance companies to obtain timely authorizations for each scheduled patient visit.
• Educates staff regarding any changes in authorization process.
• Prompts staff to complete necessary paperwork in a timely manner.
• Post daily charges to accounts via computer as assigned.
• Verifies that the scheduled service matches the charge posted.
• Enters cancellations, failures, and no shows when completing end of day procedures.
• Performs daily charge reconciliation.
• Verifies that appropriate charges/units/costs centers were posted against the nightly IT Department log summary.
• Maintains Charge Reconciliation Tracking Log. Investigates any errors.
• Serves as a liaison between various hospitals departments.
• Verifies that new procedures run accurately across all involved departments, i.e. EAP, Physician Billing.
• Meets with other departments as needed to coordinate new/revised procedures.
• Other duties as assigned.

Competency and Experience [Knowledge, Skills and Abilities]

Required Qualifications/Experience

• High School Diploma, GED or higher level of education.
• Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.
• Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience.

Preferred Qualifications/Experience

• Medical Terminology
• Associate Degree in Information Technology or related field.

• Experience in Healthcare setting.

License, Certification & Clearances

• Act 34-PA Criminal Record Check from the PA State Police system

Position Type/Expected Hours of Work

• Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.).
• Travel may be expected locally between System locations.

Equal Employment Opportunity

Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations.

Disclaimer

This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Work Environment

Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines

Physical Demands

When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.