Non Union Cqi Jobs (NOW HIRING)

POSITION SUMMARY:

Coordinates the overall functions of Insurance Billing, Cash Posting and File Maintenance under the direction of the Patient Accounting Manager. Supervises department staff.  Must be able to perform jobs in all patient care and operational areas subject to reasonable accommodations.  This is a non-union position.  

ESSENTIAL JOB FUNCTIONS:
1.    Supervises department employees and assures adequate staffing patterns for the proper function of the department.
2.    Facilitates communication between the Patient Accounting and other departments.
3.    Conducts departmental meetings and in-services at regular intervals.
4.    Monitors and documents performance of staff members; takes appropriate disciplinary measures as necessary; counsels and advises staff members.
5.    Prepares and conducts employee performance appraisals.
6.    Under management direction, develops report, memos, policies and procedures as needed for the effective operation of the department.
7.    Assists management in developing short and long-term departmental goals, continually improving the financial results of the department.
8.    Initiates, develops, and implements the rules and regulations pertaining to administrative and professional policies of the department.
9.    Builds and maintains effective working relationships with others.  Deals with patients, physicians, employees and visitors in a friendly manner, in person or on the telephone, thus promoting a positive image for the hospital.
10.    Ensures that sufficient cross training is provided.
11.    Ensures that all staff members adhere to HIPAA guidelines.
12.    Provides a safe working environment for all staff members, promptly reports any accidents and implements corrective and preventative action.
13.    Screen, interviews and hires qualified individuals for open positions.
14.    Attends meeting and participates on committees as directed.
15.    Evaluates and sets standards for equipment and supply usage. Schedules equipment repairs.
16.    Coordinates interdepartmental billing efforts.
17.    Ensures that accurate and timely billing is being done by staff members in accordance with established procedures.
18.    Keeps current regarding all reimbursement and billing procedures of third party and private insurance payers.
19.    Ensures staff members are trained and adhere to billing and compliance policies.
20.    Implements appropriate billing procedures, ensuring that accounts receivable records are kept in accordance with established procedures.
21.    Addresses patient account issues.
22.    Reviews patient accounts for reimbursement accuracy.
23.    Maintains appropriate internal controls over accounts receivable functions.
24.    Monitors activities with insurance companies, Admitting, Medical Records, Information Systems, Credit & Collections.
25.    Ensures that all staff members routinely utilize policy and procedure manuals and other available reference material as necessary to ensure proper course of action.
26.    Establishes and enforces appropriate procedures for billing, follow-up and collection on overdue accounts and implements corrective action as necessary.
27.    Maintains awareness and participates in Continuous Quality Improvement (CQI) to ensure a safe patient environment.
28.    Attends and actively participates in team conferences and staff meetings.
29.    Participates actively in orientation and on-the-job training of assigned personnel.
30.    Adheres to all Dameron Hospital Association policies and procedures including but not limited to, the hospital Code of Conduct and Corporate Compliance Program, safety rules, Joint Commission standards, Department of Public Health (DPH) regulations and any other regulatory agency.
31.    Provides methodology for dissemination of information providing opportunities for discussions of division problems, and orientation of new projects or procedures, as assigned.
32.    Performs all tasks demonstrating service excellence to both staff and customers.
33.    Demonstrates, supports, and models the mission, vision, values and code of conduct for Dameron Hospital Association.
34.    Communicates appropriately and effectively to support the department mission

FTE 1.0 - DAYS (08:00am - 16:30pm)

Education:     Associate degree with emphasis in business or equivalent supervisory experience required.  Bachelor’s degree preferred.

Experience:     Must have at least 2 years of supervisory experience in a hospital billing environment.

Licenses/Certificates: None