Senior Billing Associate (NSP)

GENESIS HEALTHCARE SYSTEM
 

In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an ‘owner’ of Genesis and keep our patients at the center of everything we do - always. 

Position Details:

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

40

Department:

Northside Home Infusion Services

Overview of Position:

To perform accurate, timely billing processes. To courteously and professionally answer customer questions regarding billing issues.

ESSENTIAL DUTIES 

     1. Inputs billing charges in the computer as needed.
         2. Answers phones and assist with referrals as needed.
     3. Performs various types of billing according to JCAHO, CMS, federal, state and company policies.
     4. Works with staff at all Northside locations on any needed documentation to facilitate accurate and timely billing.
     5. Prepares prior authorization paperwork as needed and in accordance with JCAHO, CMS, federal, state and company policies.
     6. Verifies all documentation is in place prior to billing.
     7. Keeps detailed and accurate records pertaining to service dates, products billed, payments received.
     8. Follows up on insurance denials and unreasonable reductions in allowed charges.
     9. Collects past due balances from insurance companies as well as patients.
    10. Compiles needed reports for tracking of any and all types of accounts.
    11. Assist in retail area of store as needed.
    12. Generates documentation involving CMN’s as needed.
    13. Takes ownership of billing problems and assists other employees with problem solving.
    14. Serves as a mentor for new employees and provides training and guidance of less experienced billers.
    15. Reports potential problems with billing to the manager.
    16. Promotes and drives continuous quality improvement initiatives.
    13. Any other duties assigned by the Billing Office Manager, Corporate Compliance Manager or NOME Manager.

QUALIFICATIONS

High school graduate or equivalent required.  Minimum of 3 years experience in medical billing. Must be able to proficiently operate adding machine. Must be computer literate to have the ability to input and retrieve data from billing computer systems.

PATIENT CENTERED CARE AND BEHAVIOR EXPECTATIONS

1. Living the Genesis Mission, Vision and Values: 

• Performs work in a manner that is quality focused.
• Treats patients, co-workers, visitors and volunteers with courtesy, compassion, empathy and respect
• Results oriented and focused on achievement of objectives.
• Acknowledges and responds to the diversity of people and the situation
• Encourages peers (others) to be owners of change.
• Always makes the effort to anticipate and exceed customer needs and expectations
• Possesses the ability to engage others with patience and understanding
• Acts in a manner that creates positive first and lasting impressions
• Demonstrates the ability to own issues until they are resolved

2.Patient Centered Care for  (Patients, Families, Physicians, Co-workers, and all internal/external customers):

• Introduces self and role…connects with everyone
• Communicates effectively (i.e. advising others of actions, pertinent information, time durations, etc.) and asks for feedback
• Asks for and anticipates needs and concerns of others
• Maintains a positive work environment for staff and a healing environment for patients (i.e. safe, clean, quiet, etc.)
• Maintains the dignity and privacy of each person managing confidential/sensitive information appropriately
• Responds to requests in an appropriate and timely manner 
• Exits patient/customer encounters courteously, asking if there are additional needs that can be addressed

3.Promotes Patient and Employee Safety 

• Demonstrates safe Patient Handling (i.e. transfers, transport, care administration, nutrition, medication, etc.) 
• Demonstrates safe Materials Handling (i.e. appropriate use and disposal of chemicals, infectious wastes, etc.)

• Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment
• Demonstrates Slips/Trips and Falls Awareness
• Actively contributes to maintaining a safe, clean and quiet environment

WORKING CONDITIONS/PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1.    Works in an office environment.
2.    Must regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and often lift or move up to 50 pounds.
3.    Vision abilities require up-close vision, peripheral vision, depth perception and the ability to adjust focus.
5.    Individual bends, reaches, pushes and pulls file drawers to file records and reports.
6.    Answers phone calls, uses computer and other business machines extensively which requires the ability to apply finger dexterity.
7.    May be required to periodically rotate shifts and regular days off.  All system employees must be willing to work all shifts, extra hours,     holidays and emergency shifts as required.

This description reflects in general terms the type and level of work performed.  It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent.

Thank you for your interest in employment at Genesis. Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job.