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Company: MedStar Medical Group
Location: Baltimore, MD
Career Level: Entry Level
Industries: Not specified

Description

General Summary of Position
Downloads image reporting data, indexing and quality assurance of electronic image files and paper remits for work flow distribution. Prepares paper correspondence for the same workflow process but includes prepping and scanning of documents. Monitors and analyses the Index Control Utility (ICU) for failed images in the release process. In conjunction with the Cash Application Team, reconciles the Electronic Remittance Advice (ERA) that is pushed from ERA vendors. Responsible for processing requests for medical records, attorneys, court documents, and audits in a timely manner. Reconciles paper bills (UB04s) for each facility and reports any discrepancies. Attends and participates in training and meetings as required. Works in compliance with MedStar Health policies, procedures, and HIPPA regulations as it relates to a release of PHI and the MedStar Code of Conduct.


Primary Duties and Responsibilities

  • Analyses incoming correspondence documents received through the Quality Control Indexing System (fax in queue).
  • Attends training sessions and workshops offered, to include but not limited to, CRCS-I training, bulletin review, etc. Attends and successfully completes required Continuing Education Units (CEU) for the PFS Training Program. Completes annual mandatory training (SITEL) within defined time frame.
  • Contributes to the achievement of established department and Patient Financial Services goals and objectives, and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. Achieves established benchmarks.
  • In conjunction with the Regulatory Department, maintains the daily performance benchmarks for processing, sorting and logging medical record requests.
  • Maintains daily performance benchmark for completion of assignments in work assignment queues of Horizon Business Folder (HBF) to utilize workflow for Patient Financial Services.
  • Maintains department standard for analyzing image files reported on the daily cap hold report for Index Correction Utility (ICU).
  • Maintains performance benchmarks for internal and external requests for information pertaining to third party audits/reviews or attorney requests utilizing SMS and Document Imaging.
  • Maintains quality assurance for system integration by identifying PCI, PHI, and live check errors.
  • Maintains the daily performance benchmark for reconciling UB04s and secondary bills.
  • Maintains the daily performance benchmarks for processing and indexing images.
  • Participates in PFS workgroups, staff meetings and work events.
  • Performs other duties as assigned.
  • Quality assures that images from ERA vendors appear in MRDI.

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    Minimum Qualifications
    Education

    • High School Diploma or GED required
    • Experience

      • 1-2 years Office and personal computer experience required

      Knowledge, Skills, and Abilities

      • Excellent communication, analytical, interpersonal, and organizational skills.
      • Must have a strong commitment to quality customer service.
      • Working knowledge of UB04s, Explanation of Benefits (EOB), and Correspondence documents.
      • Basic keyboarding skills using personal computers as well as Microsoft spreadsheet and word processing applications.
      • Ability to work independently.


      This position has a hiring range of $17.5 - $28.73

       


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