Open Until Filled.

• High School Diploma or Equivalent
• Must have basic clerical skills, such as: typing/Word Processing, filing, medical terminology, and be computer literate
• Previous Lab experience and/or medical background preferred

Job Summary

The Compliance/Audit Specialist is responsible for updating hospital accounts for accurate billing and reimbursement, providing QA/feedback to registration and outside departments, providing customer service to other facilities and patients, and processing of payments.

Duties

• Review of registration accounts to identify areas of inaccuracy
• Efficiently utilizes hospital reports, programs, systems, including E.H.R., to identify information in which is needed for billing
• Assists in updating various requests from billers to expedite billing and reimbursement
• Maintains professional relationships with other departments, facilitates, and patients
• Provides exceptional customer service to other departments, facilitates, and patients
• Brings examples of inaccuracies to leadership team in an effort to decrease inefficiencies and support productive work flow
• Stays current on hospital and departmental changes
• Retrieve and Scans requisitions and patient documents into Hospital Systems for accurate record keeping
• Maintains current physician and facility information
• Processes payments made by facilities or patients
• Performs with a minimum of errors – works neatly and with accuracy regardless of volume of work
• Accuracy and efficiency with which all assignments are completed
• Encourages other personnel towards professional growth and development by sharing information
• Organizes work for effective utilization of time
• Able to determine priorities when organizing daily assignments
• Seeks assistance when necessary from Patient Access and/or Patient Financial Systems leadership team
• Shows ability to handle unexpected situations and is able to exercise independent thought and action when necessary
• Shows ability to work on own without being told specific things to do
• Promotes an environment in which the staff can work together cooperatively toward objectives
• Capable of performing a variety of tasks within the scope of job duties
• Accepts accountability for actions
• Assumes responsibility for own behavior
• Able to recognize the importance of hospital policy
• Accepts and follows hospital policy
• Can be counted on to carry out instructions and fulfill job responsibilities
• Can be counted on to report to work as scheduled
• Accepts responsibility for and becomes available for overtime when workload requires
• Accepts responsibility for and becomes available to work a different shift when workload or conditions warrant it
• Performs other duties as assigned

Organizational Expectations

• Provides a positive and professional representation of the organization
• Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention
• Maintains hospital standards for a clean and quiet patient environment to maintain a positive patient care experience
• Adheres to infection-control policies and protocols
• Participates in ongoing quality improvement activities
• Maintains compliance with organization’s policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards
• Complies with organizational and regulatory policies for handling confidential patient information
• Demonstrates excellent customer service through his/her attitude and actions, consistent with the standards contained in the Vision, Mission, and Values of the organization
• Adheres to professional standards, hospital policies and procedures, federal, state, and local requirements

Functional Demands:

Semi- Sedentary: Sits and walks throughout workday

Generally lifting objects not more than 25 lbs. and/or carrying objects weighing 10 lbs.

10/03/2023

Human Resources

530.712.2137

hrrecruiting@orohosp.com