DHR Health - US:TX:Edinburg - Days
Summary:
POSITION SUMMARY:
The successful candidate will assist the Chief Revenue Cycle Officer and the Contract Manager of the Revenue Cycle with in the operations of the Revenue Cycle Departments of the Doctors Hospital of Renaissance and the Renaissance Medical Foundation. This position will require preparing forecasts, performing cost and variance analysis of patient accounts data, assuring the accuracy of Aged Trial balance, and providing assistance in long range planning and profitability assessments. Also includes budgets and cost report preparation, statistical analysis by departments and service lines. Understanding of the different reporting systems, Paragon, PIC, Medisoft, Premier, and all Revenue Cycle systems.
POSITION EDUCATION/ QUALIFICATIONS :
- College degree in Business or Computer related field preferred
- Must be able to be sensitive to cultural and bilingual issues.
- Good written and verbal communication skills required.
- Ability to read, write and speak English
- Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians
- Prefer hospital experience
JOB KNOWLEDGE/EXPERIENCE :
- Two ( 2 ) years’ experience, prefer healthcare experience, but not required.
- Must able to work under pressure and to meet deadlines.
- Requires reasoning ability, good independent judgment, and the ability to work with frequent interruptions.
- Must project a professional image.
- Working knowledge of personal computer and Microsoft Office is required.
- A good understanding of excel functions, formulas, formatting and Pivot tables is required.
- A good understanding of database modeling is also likely to be required.
- Being able to communicate this information on paper and in conversation to audiences with varying levels of understanding is also critical.
Responsibilities:
POSITION RESPONSIBILITES:
- Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practice
- Ability to run Crystal reports, Paragon reports and Medisoft reports, Premier reports, PIC reports
- Responsible for the coordination of Insurance plans Additions/ Revisions/ Deletions in PIC.
- Responsible for WEBTPA out of network reimbursement calculation on Facility and Professional services.
- Weekly will run and format Denial reports to be handed off to Special projects coordinator for the RMF.
- Monthly will run the PS&R report for shadow billing and provide to Chief Revenue Cycle Officer.
- Monthly will run and compile Denials report for Chief Revenue Cycle Officer for the RMF.