Experience Specialist - Monticello (Full Time) - UnityPoint Health

Description of Position:

Provide a “snapshot” or the principal purpose or focus of the position, consisting of no more than three to five sentences.  This summary should provide enough information to differentiate the major function and activities of the position from those of other positions.

·         Responsible for the routine business office functions.

·         Performs sound, accurate, and timely bookkeeping procedures in relation to all aspects of the routine office duties.

·         Collection and communication of all incoming and outgoing information to the pertinent customers.

Essential Functions/Responsibilities:

Essential functions are the duties and responsibilities that are essential to the position (not a task list).  Do not include if less than 5% of work time is spent on this duty.  Be specific without giving explicit instructions on how to perform the task.  Do not include duties that are to be performed in the future.  Duties should be action oriented and avoid vague or general statements. 

% of Time

(annually)

Position Accountabilities/Duties:

·         Greet patients and visitors and provide courteous, caring and professional assistance to all individuals contacting the office. Answer questions and provide non-medical information and/or direct to appropriate party.

·         Answer telephone calls in clear, calm, and professional manner. Screen calls by urgency and route calls promptly, accurately, and professionally to appropriate party.

·          Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.

·         Check-in, check-out, schedule, cancel, and reschedule patient appointments maintaining appointment schedule according to office procedure.

·         Gather, verify, and enter demographic and insurance information on new and established patients necessary for completion of electronic health record and insurance claim processing at each patient visit on patient accounting system.

·         Collect payments, issue receipts and reconcile daily receivable activity to prepare for daily deposits.

·         Review billing information for accuracy and perform daily posting of charges for office visits and procedures abstracting procedural, diagnostic, and demographic information according to policy and procedure.

·         Maintain daily reconciliation/balancing documents per protocol.

·         Work accounts in assigned queues in accordance with the department protocols.

·         Open and/or close the clinic following specified guidelines of individual clinic.

·         Work independently and responsible for timely completion of assigned functions.

·         Share responsibility through timely communication of identified problems to assure proper follow-up is completed and ensure proper payment.

·         Work accounts in assigned queues in accordance with the department protocols.

·         Perform other duties as requested by Clinic Administrator to facilitate the smooth and effective operations of the office.

50 %

Development & Education:

·         Attend Billing specialist classes and meetings on a regular basis.

·         Attend Webinar’s that pertain.

·         Hold regular meetings with PSR’s to keep everyone updated on changes or processes.

40%

Basic UPH Performance Criteria          

·         Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.

·         Balance team and individual responsibilities; be open and objective to other’s views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests.

·         Demonstrates ability to meet business needs of department with regular, reliable attendance.

·         Practices and reflects knowledge of Corporate Compliance and HIPAA policies and procedures, DIA, OSHA and other federal/state regulatory agencies guiding healthcare.

·         Completes all annual education and competency requirements within the calendar year.

·         Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse.  Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff.  Takes appropriate action on concerns reported by department staff related to compliance.

·         Be aware of what is happening in clinic/department and the organization by attending clinic/department meetings, reading emails and regularly checking information on the organization’s HUB.

10%

Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee.  Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

Demonstration of UPH Values and Standards of Behaviors

Consistently demonstrates UnityPoint Health’s values in the performance of job duties and responsibilities

Foster Unity:

·         Leverage the skills and abilities of each person to enable great teams.

·         Collaborate across departments, facilities, business units and regions.

·         Seek to understand and are open to diverse thoughts and perspectives.

Own The Moment: 

·         Connect with each person treating them with courtesy, compassion, empathy and respect

·         Enthusiastically engage in our work.

·         Accountable for our individual actions and our team performance.

·         Responsible for solving problems regardless of the origin.

Champion Excellence:

·         Commit to the best outcomes and highest quality.

·         Have a relentless focus on exceeding expectations.

·         Believe in sharing our results, learning from our mistakes and celebrating our successes.

Seize Opportunities:

·         Embrace and promote innovation and transformation.

·         Create partnerships that improve care delivery in our communities.

·         Have the courage to challenge the status quo.

Minimum Requirements

Identify items that are minimally required to perform the essential functions of this position.

Preferred or Specialized

Not required to perform the essential functions of the position.

Education:

·         High School or Vocational School graduate.

Experience:

·         Previous medical business office experience and accounts receivable management preferred.

·         Previous experience coding diagnoses and procedures with ICD-9-CM and CPT.

·         Previous experience with filing of medical insurance claims.

License(s)/Certification(s):

Must possess and maintain current:

·         Basic Life Support (BLS) certification or obtain certification within three (3) months from date of hire.

·         Mandatory Reporter certification

·         Valid driver’s license when driving any vehicle for work-related reasons.

Knowledge/Skills/Abilities:

·         Knowledge of medical terminology, anatomy and physiology.

·         Knowledge of medical billing and collection practices.

·         Knowledge of governmental legal and regulatory provisions related to collection activities.

·         Strong telephone and organizational skills and ability to interact effectively with internal/external customers.

·         Writes, reads, comprehends and speaks fluent English.

·         Multicultural sensitivity.

·         Microsoft Office – basic computer skills.

·         Customer/patient focused.

·         Critical thinking skills using independent judgment in making decisions.

·         Ability to work as a team member.

·         Ability to understand and apply guidelines, policies and procedures

Other:

Use of usual and customary equipment used to perform essential functions of the position.