Revenue Procurement Specialist
Full Time
Santa Fe, NM 87507
Up to $20.05 an hour
Posted
Job description
Overview:
Type of Opportunity: Full Time
FTE: 1.000000
Exempt: No
Work Schedule: Weekday Schedule Monday-Friday Qualifications:
Benefits:
We offer more than the standard benefits!
Learn more about our employee benefits:
https://www.phs.org/careers/employee-benefits/Pages/default.aspx
Why work at Presbyterian?
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.
About Presbyterian Healthcare Services
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
About Our Regional Delivery System
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.
New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Offer Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs. Compensation decisions are dependent upon the facts and circumstances of each offer. Minimum Offer: USD $15.41/Hr. Maximum Offer: USD $20.05/Hr.
Revenue specialist is the primary responsibility which consists of coordinating all financial aspects of a patient s PINC experience related to billing, charge posting and unit revenue reconciliation. Provide knowledgeable, responsive, and timely resolution to departmental billing, charge posting discrepancies. Responsible for entering patient charges, reviewing and reconciling daily posting transaction reports to ensure completeness and accuracy of all charge entries for PINC patients. Responsible for monitoring changes to the individual charge masters within his/her respective business unit. Communicates with finance to ensure that chargemaster is up to date. Ensure that all charges are entered accurately and conform to compliance issues set by finance regulatory agencies
Type of Opportunity: Full Time
FTE: 1.000000
Exempt: No
Work Schedule: Weekday Schedule Monday-Friday
High School diploma and one to three years experience in a healthcare
reimbursement/business office environment to include data entry, clerical and financial functions, and billing and account reconciliation. Knowledge of CPT, ICD-9 and HCPCS coding. Ability to work under pressure of rigid cycles and production schedules. Knowledge of medical terminology and MS office and Medipac preferred.
Education:
Essential:
Responsibilities:
Essential:
- High School Diploma or GED
Responsible for reviewing, updating and posting charges .
- Responsible for communicating with finance to ensure that all charge entry and posting is in compliance with regulatory agencies, i.e., CMS, FDA, etc.
- Listen, analyze, answer, resolve and coordinate charge master / billing inquiries and issues for any or all network service areas to ensure accurate and timely billing functions and to reconcile billing discrepancies.
- Document via information systems the response and resolutions to charge master inquires and issues to ensure high quality and standardized responses, as well as tracking and reporting capabilities.
- Access on-line information technology and hard copy documentation to assist in answering and resolving charge master inquiries and issues.
- Maintains and fosters effective communications/relation with managers, supervisors, unit secretaries, admin assistants, and finance.
- Reviews billing/charge master transaction summaries daily and ensures accuracy and completeness of all data entered.
- Reconciles daily billing activity to ensure all charges are entered correctly.
- Responsible for the confidentiality of all patient information being documented.
- Establish and maintain relationships with finance.
- .Render assistance to PHS system personnel in researching questions and inquiries, and stats checks,
- Schedule Donor Service patients, prior to surgery and for blood donations. Maintain the scheduling program.
- Check in Donor Service patients.
- Maintain various department statistics
- Answers telephones and efficiently processes information
- Responds to inquiries and requests daily regarding financial statistics, billing and charging
- Create and maintain a historical and current database to identify treatments and payers involved.
- Submit charges for the administration (procedures), drugs, and equipment used in a timely manner. Maintain a billing database.
- Maintain appropriate billing procedures, ensuring that the accounts receivable records are kept in accordance with established procedures.
- Answer telephones, takes and relays information and messages. May answer routine questions regarding hospital and departmental operations, policies and procedures.
- Retrieves information from files as requested and assembles data. Responsible for following confidentiality guidelines while duplicating material using photocopy machine.
- Maintains and fosters effective public relations with patients, providers and the public by listening, responding, and documenting customer phone and walk-in inquiries and issues
- Schedules procedures/visits for Donor Services.
Benefits:
We offer more than the standard benefits!
Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!
Learn more about our employee benefits:
https://www.phs.org/careers/employee-benefits/Pages/default.aspx
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.
About Presbyterian Healthcare Services
Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
About Our Regional Delivery System
Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
New Mexico continues to grow steadily in population and features a low cost-of living.
Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.
New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
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