Billing Coordinator for St Josephs

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.

Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.

We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.

Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.

Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.

Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.

• Ensures all clinicians’ charges are completed in timely manner and billed into the Practice Management System daily.
• Works as the liaison between the Revenue Cycle Management (RCM) vendor and the operations teams within their assigned practices and / or clinicians.
• Runs and monitors the daily charge reports and assures that charges balance and units are correct.
• Escalates errors to the vendor partner or practice for resolution within the key performance indicator (KPI) time frames.
• Works with the vendor on any claims that are not billed and escalates to RCM leadership and operations leadership for claims that are not meeting the established KPI.
• Runs the daily activity report and reviews vs. budget targets.
• Notifies RCM leadership on budget variances.
• Works with practices if vendor has questions on claims for both pre and post billing.
• Ensures that established turnaround times for claim completion and billing are met or delinquent claims are escalated to RCM and operations leadership.
• Works with RCM vendor on credit balances that should be applied to charge line items.
• Monitors all unbilled claims and works with the vendor and / or practice to resolve.
• Run reports as requested by management teams or finance.
• Compares monthly actual charges to budget and prepares reports detailing any budget shortfalls.

Coordinates and supports the billing functions for assigned clinicians, across multiple practices and specialties. Works with the RCM vendor partner on daily revenue specific job functions, budget targets and all other responsibilities as assigned job functions / responsibilities; and reporting compliance issues / concerns in a timely and appropriate manner.

Education

Required : High school diploma / GED

Preferred : Completion of billing or coding program

Experience

Required : 5 years of minimum experience working in large medical practice and / or billing company; specifically involved in the charge entry, claims processing, claim rejections and claims edit / correction processes

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