Employee Type:

　　Regular

　　Work Shift:

　　Day - 8 hour shift (United States of America)

　　Join Team Tidelands and help people live better lives through better health!

　　QUALIFICATIONS

　　Education :

　　Must meet one of the following:

　　High School Diploma.Experience/Knowledge/Skills :

　　Three or More Years of Experience with the following:

　　Understanding of the Revenue Cycle process.

　　Working with government agencies, third-party payors, and patients/guarantors via phone, e-mail, or online.

　　Review of reimbursement activity until account resolved.

　　Hands-on knowledge of UB-04 and/or HCFA 1500 billing and account follow up, CPT and ICD-10 coding and terminology for hospital and/or ambulatory/physician billing.

　　Strong personal ability to work collaboratively among internal and external departments, to identify and help resolve enterprise-wide challenges.

　　Solid understanding of HIPAA transaction sets and compliance with HIPAA privacy laws

　　Documenting of all follow-up activity taken on an account in the patient account notes.

　　Basic MS Office suite proficiency (Microsoft Excel, Word, and PowerPoint).

　　Familiar with terms such as HMO, PPO, IPA, capitation and how these payors process claims.

　　Demonstrated experience with having strong interpersonal communication skills required.

　　Prior experience with interpreting and following detailed policies required.

　　Demonstrated ability to independently think and make judgments in interpreting and adapting guidelines and making judgment decisions on specific problems required.

　　Must pass PC typing test to demonstrate general PC aptitude and keyboarding ability at a minimum of 40 wpm required.

　　Demonstrated Competency with Microsoft applications such as Outlook, Word, Excel and Explorer required with examples of such work provided required.

　　Demonstrated ability to handle projects and tasks efficiently (time management) required.

　　Prior certification course, training program in medical terminology preferred but not required.

　　Prior experience with Meditech software program preferred but not required.

　　Other :

　　In addition, all interactions require an exemplary level of communication skills, teamwork skills, problem solving capabilities, organizational and time management skills.

　　Incumbent should fully support Tideland Health’s Mission and Values.

　　Predominantly Day shift M-F position, but management reserves the right to make changes on an as needed basis to meet the needs of the customers and TH programs when such instances arise. May be required to work on holidays and weekends, as necessary.

　　Physical Requirements : Light Physical Agility Test (PAT) Rating

　　While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently , and/or a negligible amount of force constantly to move objects.

　　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 and post offer Physical Agility test will be required to demonstrate ability to meet minimum physical competencies of the position.

　　Exposure to diseases possible but not probable due to controlled environment and limited exposure to patients.

　　Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.