service representative

service representative Fresno, CA

Saint Agnes Medical Center (CA)
Full Time Fresno, CA 29.32019230769231 - 21.720192307692308 USD HOURLY Today
Job description

Employment Type:
Full time
Shift:
Day Shift

Description:
Reporting to the Revenue Integrity RN Supervisor, Revenue Integrity, as the Revenue Integrity Charge Representative. Responsible for maintaining documentation regarding charge capture processes including technology components and personnel interactions to allow for organizational clarity & accountability. Performs regular reviews of process adherence and identifies missing charges. Works with other key stakeholders regarding impacts of system change requests and upgrades on charging processes to ensure continued capture accuracy. Provides oversight of reconciliation processes for all assigned departments; ensuring daily and appropriate monthly reconciliations are occurring. Handles charge entry, charge approvals, and/or charge reviews for identified service lines including but not limited to, appending modifiers, and checking clinical documentation. As a mission-driven innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. By demonstrating reverence, commitment to those who are poor, justice, stewardship, and integrity, our organization will continue to provide better health, better care, at lower costs.

1. Licensure/Certification: High school diploma or equivalent combination of education and experience. RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials and/or Licensed Vocational Nurse/Licensed Practical Nurse licensure preferred. CHC (Healthcare Compliance Certification) preferred. CHRI certification/membership strongly preferred.

2. Minimum of one (1) to two (2) years of relevant work experience in a hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services. Charge control/capture work experience strongly preferred.

3. Knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations.

4. Knowledge of Hospital and/or Physician group practice revenue cycle front-end functions such as patient registration that may impact charge related errors.

5. Ability to organize and to prioritize work in a diverse, fast-paced environment while working on multiple projects simultaneously.

6. Knowledge of billing and regulatory guidelines related to charging and other revenue cycle processes and ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelines.

7. Experience with MS Excel, Word and PowerPoint preferred. Epic experience preferred.

8. Must be comfortable operating in a collaborative, shared leadership environment.

9. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

10. Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Integrity and Compliance Program, including the Code of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behaviors.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

1. This position operates in a typical office and/or home office environment. The area is well lit, temperature controlled and free from hazards.

2. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.

3. Manual dexterity is needed to operate a keyboard. Hearing is needed for extensive telephone and in person communication.

4. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.

5. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.

6. Ability to thrive in a fast-paced, multi-customer environment, with conflicting needs which some may find stressful. May warrant varied and/or extended hours, with changes in workload and priorities to keep pace with the industry and advance strategic priorities.

Pay Range:
$21.72 - $29.32

Our Commitment to Diversity and Inclusion


Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

service representative
Saint Agnes Medical Center (CA)

www.samc.com
Fresno, CA
Nancy Hollingsworth, RN
$100 to $500 million (USD)
1001 to 5000 Employees
Hospital
Health Care Services & Hospitals
1929
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