Overview

CHI Memorial Mountain Management Services

CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.

We care about our employees’ well-being and offer benefits that complement work/life balance.

We offer the following benefits to support you and your family:

Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs

Employee Assistance Program (EAP) for you and your family

Health/Dental/Vision Insurance

Flexible spending accounts

Voluntary Protection: Group Accident, Critical Illness, and Identity Theft

Adoption Assistance

Paid Time Off (PTO)

Tuition Assistance for career growth and development

Matching Retirement Programs

Wellness Program

If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!

Responsibilities

Expectations:

Supervises and evaluates the daily operations of denied claims to ensure that all activities are conducted in a timely and cost-effective manner and in accordance with professional standards, budget constraints, internal policies/standards/procedures and/or applicable legal/regulatory requirements.

Schedules, supervises and evaluates the work of assigned revenue cycle staff

Monitors and assesses current operations/services to identify performance/process improvement opportunities.

Monitors compliance with applicable internal/external legal and regulatory agreements, standards and requirements; takes appropriate steps to address and resolve non-compliance issues

Establishes and maintains professional and effective relationships with peers, payers, patients and other stakeholders; serves as liaison with various internal departments/staff/providers in coordinating and troubleshooting various revenue cycle-related issues.

Qualifications

Minimum Qualifications:

Knowledge of policies, standards, procedures, processes, workflow, KPIs and regulatory/reporting requirements applicable to the assigned revenue cycle function

Knowledge of general concepts and practices, regulatory/reporting in the revenue cycle function, clinic operations, medical insurance, payer contract, CPT and ICD codes

Oversee daily operations, keep up-to-date of trends, developments and changing regulatory requirements, troubleshoot

Maintain confidentiality of medical records, attention to detail and critical thinking

Supervisory skills, understand financial and/or operational/productivity reports, metrics, and office equipment

Preferred Qualifications:

Associate degree in business administration, medical billing, coding or related fieldPay Range

$17.89 - $24.60 /hour

We are an equal opportunity/affirmative action employer.