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Title Revenue Cycle Director
Categories Finance
Job Information

REVENUE CYCLE DIRECTOR  ***Internal Posting Only – Only TCHS Employees may apply for this position***

POSITION SUMMARY:

This position contributes to the fulfillment of Thayer County Health Services vision and mission by being responsible for directing the organization’s revenue cycle departments, including Patient Access, Medical Records, and Patient Billing. This position serves as liaison with vendors who provide services for patient billing and medical record coding including overseeing vendor’s performance with claims production, billing, follow-up, collections, cash receipts/adjustments, compliance with third party payor regulations, insurance verification and provider enrollment/credentialing. This position is responsible for both strategic alignment and oversight of transaction and process-based revenue cycle functions, including ongoing improvement to key revenue cycle indicators. These key indicators include but are not limited to: A/R days, cash collections goals and posting, bad debt, denials, underpayment recovery and contract management activities related to patient account management. This individual should have comprehensive knowledge of revenue cycle operations, either from a provider or payor perspective, with particular experience in performance improvement identification/implementation and monitoring controls. This position is responsible for personnel development, implementing and maintaining department policies, and initiating disciplinary action according to policy. Responsible for the overall functions of the Health Information Management and Coding Department. Insures the highest standards for the protection of confidential information which includes the security and integrity of the electronic health records. This position also serves as the Chief Privacy Officer who oversees all activities which includes the development, implementation, and maintenance of all policy and procedures to assure compliance with the Health Insurance Portability and Accountability Act of 1996.

SUPERVISION:

Reports to Chief Financial Officer.

JOB QUALIFICATIONS:              

  • Bachelor’s degree required, preferably in Business or Healthcare Administration
  • Master’s Degree in a related field preferred (MBA, MHA)
  • Five years of progressive Revenue Cycle/Patient Financial Service management experience required
  • Extensive experience in Revenue Cycle/Patient Financial Service management would be considered in place of bachelor’s degree, with a strong successful track record
  • Participation in relevant industry professional associations preferred (HIMA, HFMA, NHA)
  • Experience with Critical Access Hospitals and Rural Health Clinics preferred
  • Must have successful history of working with CMS (Medicare/Medicaid payment plans and regulations)
  • Advanced computer skills in Microsoft Office, with preferred experience in CPSI and AllScripts EHR systems
  • Knowledge of CPT, ICD-9 & ICD-10 coding and hospital/physician billing
  • Required current certification as an RHIT.
  • Required knowledge of ICD-9 and ICD-10 in addition to CPT codes.

PRINCIPAL RESPONSIBILITIES:

  • Acts as liaison for vendors providing patient billing services to ensure accounts are billed accurately and timely, including but not limited to: inpatient, outpatient, emergency room, clinic, lab, rehab, and home health procedures/visits
  • Acts as liaison and monitors outside collection and “early out” vendors engaged in the collection of accounts receivable, reviews and balances agency reports to hospital system reports, and approves agency invoices
  • Provides operational oversight for Patient Access Team Lead and Billing Team Lead (if applicable), mentoring them in their responsibilities
  • Maintains current knowledge of hospital billing systems and government payment systems, including applicable federal/state laws and regulations, as well as all aspects of third party reimbursement policies and practices
  • Develops and implements policies and procedures in accordance with applicable laws, regulations, and sound business practices
  • Demonstrates ability to supervise, train and motivate employees, as well as a professional attitude in relating to executive management, professionals, third-party insurance carriers, and business/community leaders
  • Organizes and leads intra-departmental efforts to maximize operational efficiency and optimize reimbursement, and hold vendors accountable for their monitoring of denials and providing education and reporting to clinical areas regarding the effect of denials from their area
  • Reviews all statistical reports to monitor trends, determine operational deficiencies, and implement corrective action plans as necessary
  • Supervises Financial Counselors and ensures they receive appropriate training and works to resolve escalated patient complaintsDemonstrates highly developed verbal and written communication skills, excellent analytical and problem solving skills, the ability to assess and evaluate complex financial data, and the ability to manage multiple complex tasks
  • Exhibits excellent leadership and self-direction, good judgment in handling difficult situations and good organizational, time management, interpersonal and conflict resolution skills
  • Assures that confidentiality of patient information is maintained without exception and satisfactorily handles customer complaints within organization guidelines
  • Attends all required meetings and activities, maintaining a professional affiliation to stay abreast of current trends and changes in legislation and industry best practices
  • Develops and implements Health Information Management Policies.
  • Develops and implements Privacy Policies in compliance with the Health Insurance Portability and Accountability Act.
  • Develops and implements departmental budget.
  • Develops departmental objectives and goals in addition to organizing the workload with staff.
  • Interviews/hires all health information management staff in addition to performing performance evaluations and recommended wage increases, promotions, or disciplinary actions.
  • Prepares statistical analysis and reports to mandatory agencies.
  • Prepares the Medical Staff Meeting agenda, attends meetings, and acts as recorder.
  • Actively participates in meaningful use activities to help organization stay in compliance.
  • Actively participates in revenue cycle improvement activities.
  • Audits records and works closely with staff to assure the completeness of the electronic health record.
  • Audits electronic health records to assure compliance with access in accordance with the privacy regulations. In addition performs initial and periodic information privacy risk assessments.
  • Manages and oversees transcription services.
  • Oversees or ensures delivery of initial privacy training and orientation to all employees, volunteers, and contracted employees.
  • Develops and implements all business associate agreements in accordance with the privacy regulations.
  • Accurately assigns diagnosis and procedure codes to hospital inpatient visits, outpatient surgeries and emergency room visits.
  • Accurately assigns professional fee to hospital and emergency room visits.
  • Performs all Quality Improvement activities for the department.
  • Participates in professional development activities and maintains professional affiliations.
  • Performs all other duties as assigned
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Title Marketing Specialist – Part Time (24hrs/wk)
Categories Administrative
Job Information

Marketing Specialist – Part Time (24 hrs/wk)

POSITION SUMMARY:

This position contributes to the fulfillment of Thayer County Health Services vision and mission , with direction from the CEO and Board of Directors, works with the Director of Development to plan, organize and direct the overall marketing and long-term philanthropy efforts and of Thayer County Health Services.

SUPERVISION:

Responsible to the Director of Development

JOB QUALIFICATIONS:      

  • Associates Degree in a Marketing, Graphic Art, Communications or related field required
  • Bachelor’s degree strongly preferred.
  • Academic preparation in one of the following areas is preferred: marketing, sales, communication, public administration.
  • Experience in graphic arts
  • Computer skills, including word processing, excel, power point, publisher, Coral Draw (or equivalent software) and website management preferred.
  • Experience creating promotional materials
  • Strong communication and editorial skills.
  • Two years’ experience in development of comprehensive marketing plans, or any equivalent combination of experience and/or education from which comparable knowledge, skills and abilities has been achieved.

 

PRINCIPAL RESPONSIBILITIES:

  • Assists with the development, writing, and communication of Marketing plans, promotional recaps, creative briefs, project recommendations, and presentations.
  • Assists in budget and annual marketing goals.
  • Ensures that all locally-developed creative marketing materials undergo brand review and adhere to strict brand guidelines.
  • Assists with writing and editing of promotional material, press releases, newsletters, direct marketing, and website.
  • Works effectively as part of the marketing and development team to communicate, coordinate, and implement the TCHS marketing plan.
  • Develops opportunities to add additional marketing opportunities for TCHS through social media and initiatives.
  • Participates in regular strategy meetings and develops new programs and initiatives that are designed to further enhance the marketing plan.
  • Assists the departments within TCHS in managing advertising initiatives and media plans.
  • Assists in planning and implementation of philanthropy events for the foundation and guild.
  • Collaborate with marketing partners to identify joint marketing opportunities
  • Monitor all marketing processes and implement improvements to enhance TCHS services
  • Assists in theme and content development for a variety of projects.
  • Reviews TCHS marketing materials and makes recommended updates and changes.
  • Works with TCHS departments to evaluate and develop marketing goals.
  • Maintains a strong working relationship with local media vendors.
  • Networks with other marketing organizations; locally, within BVRN, and NMA
  • Performs related work as required.
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Title Hospital RN – PRN
Categories Nursing Services
Job Information

Thayer County Health Services, Thayer County, NE

POSITION SUMMARY:

This position contributes to the fulfillment of Thayer County Health Services vision and mission by exercising appropriate nursing judgment based on knowledge, skills and understanding in nursing situations, participates in planning, implementation and evaluation of nursing care, is involved in a quality assurance program to provide optimal patient care.

SUPERVISION:

Reports to Director of Nursing.

JOB QUALIFICATIONS:              

  • Graduate of an accredited school of nursing and possess a current valid state Nursing License.
  • Maintains current CPR status.
  • Must have good communication skills.

PRINCIPAL RESPONSIBILITIES:

  • Performs nursing care and services for patients such as assessment and documentation of signs and symptoms, administering sterile treatments, assisting with examinations, participating in the rehabilitation of patients, and showing appropriate use and care of resources all in accordance with the medical and/or nursing plan of care.
  • Prepares, administers, and documents oral, subcutaneous, intramuscular and intravenous medications; observes site of insertion, rate of flow in IV’s and discontinues IV’s.
  • Assists in planning, providing, and evaluating patient care as a member of the nursing team.
  • Assists physicians, nurses and others as required; responsible for total patient care of patients assigned and delegation of duties to appropriate personnel as necessary.
  • Performs duties in care and cleaning of rooms and equipment after use or discharge, stocks supplies in designated areas, keeps utility and other nursing areas clean and in order.
  • Observes, records, and reports to the appropriate persons, general and specific physical and mental conditions of patients, and signs and symptoms which may be indicative of change.
  • Performs selected procedures and therapeutic treatments, provides nursing care in Med/Surg, Emergency Room and the Operating Room following demonstration of competence.
  • Observes and provides care to the obstetrical patient through the stages of labor, delivery, and post-partum, after demonstration of competence.
  • Observes and provides care of the newborn after NRP and STABLE certification and demonstration of competence.
  • Participates in planning care for patients utilizing physician orders, instructions, established standards, nursing techniques, policies and procedures.
  • Promotes patient education and assists in teaching patient health maintenance and self-care.
  • Studies and evaluates trends and developments in nursing practices with thought of their adaptability to the specific needs.
  • Assumes responsibility for accuracy of procedures, documentation and maintenance of high standards of nursing care. Maintains accurate and complete records.
  • Verifies electronically placed provider orders in a timely manner.
  • Assists in training and orientation of new employees.
  • Participates in Quality Assurance, committees where requested/needed, attends in-service programs, staff and employee meetings and required educational trainings.
  • Performs other duties as assigned.

 

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Title Registration Clerk – Patient Access
Categories Administrative
Job Information

SUPERVISION:
Reports to the Patient Access Team Lead.

JOB QUALIFICATIONS:
• High School Diploma is required.
• Knowledge of medical terminology is preferred.
• Prior experience with registration functions for a Rural Health Clinic is preferred.
• Computer and keyboarding skills required.

PRINCIPAL RESPONSIBILITIES:
• Maintains excellent phone skills emphasizing customer service excellence.
• Greets patients in prompt fashion, inquiring of their needs and assisting when needed.
• Registers current and future patients for clinic, hospital, lab, radiology, rehab and specialty appointments and procedures according to departmental guidelines.
o Obtains data required to initiate and/or complete patient records including verification of all demographic, employment, retirement, accident and insurance information to ensure accuracy.
o Ensure insurance precertification, referral, and authorization requirements have been met for commercial, government and worker’s compensation payers.
o Obtains authorization signatures for consent to treatment, release of information, financial responsibility, and any other necessary forms.
o Scans insurance cards, referrals, consents and patient identification documents into document imaging software.
o Determines and collects patient co-pays, deductibles and applicable co-insurance amounts required by insurance guidelines and internal policies and procedures.
• Refers patients to the Financial Counselor as needed.
• Follows up on obtaining any required information that is unavailable at the time of registration.
• Counts and balances cash drawer, completes deposit and follows department process for all monies collected.
• General secretarial duties as needed.
• Works flexible work schedule hours as required.
• Works in CPSI and Allscripts software systems, as well as any other systems required for performing required job duties.
• Assumes responsibility for personal and professional growth through participation in department meetings, in-service programs, continuing education programs, and fulfills yearly requirements as stated by policy.
• Assists in orientation of new staff.
• Participates in achieving organizational goals.
• Maintains effective working relationships with patients, visitors, physicians, office staff, hospital personnel, and the public.
• Assures confidentiality of patient and hospital information, maintaining compliance with policies and procedures.
• Any other duties as assigned by supervisor.
PERFORMANCE STANDARDS:
Performance metrics will include error rates, percentage of patient responsibility payments collected or secured, and other factors determined by management.

SHIFT:
Full Time/Part Time – Day/Evening – Rotating Saturdays. Additional Information
Position Type : Full Time
Shift : Other

Closing Date: 10/01/2014 Contact Information
Human Resources
Email: humanresources@tchsne.org

Apply Now


Title General Application – Thayer County Health Services and Medical Clinics
Categories General Application
Job Information

Thayer County Health Services is currently looking for professional healthcare employees. If you do not see a current job opening in our present online listings, we still encourage you to apply using the online application. If your qualifications meet any of our current needs, we will contact you.

We are currently accepting applications for positions we will need filled in the future. We keep applications active for 1 year from the submission date. Contact Information
Human Resources
Email: humanresources@tchsne.org

Apply Now


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