Banner Health

Medical Billing and Coding

• Evaluates medical records, provides clinical and surgical abstraction and assigns appropriate clinical diagnosis and procedure codes.
• Analyzes medical information from medical records
• Accurately codes diagnostic and procedural information in accordance with national coding guidelines
• Consults with medical providers to clarify missing or inadequate record information and to determine appropriate codes.
• Provides thorough, timely and accurate coding in accordance to department specific productivity and quality standards.

Profee Coder – Primary Care

Accountant

• Prepare complex accounting analyses and reconciliations to support general ledger input
• Compute and post the most complex transactions into the financial systems
• Research and correct errors in the general ledger
• Interface with management to assist with financial data gathering and interpretation
• Prepare timely and accurate reports and presentations to satisfy mandated reporting requirements

Senior Accountant

General

• Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs
• Reviews patient history and physical with patient/family
• Formulates a plan of care, including the discharge plan, utilizing assessment data
• Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team.
• Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed.
• Documents assessment, planning, implementation and evaluation in the patient record
• Provides care based on the best evidence available and may participate in research activities
• Contributes to society through activities that lead to excellent patient outcomes

Registered Nurse, OR/CVOR, Operating Room

Human Resources

• Support team members and leaders with their employee relations concerns
• Review issues including corrective actions, harassment, and discrimination investigations
• Maintain required documentation within case management system
• Develop training for leaders, Human Resources staff, and employees

Employee Relations Business Partner

Billing Specialist

• Analyzes, designs, and implements efficient system of processing emergency department Point of Care Ultrasound (POCUS) coding and billing
• Serves as subject matter expert in emergency medicine coding and billing
• Manages quality assurance efforts to ensure accuracy and compliance
• Acts as liaison between emergency department and coding group leadership
• Develops educational sessions for compliance documentation and coding
• Produces regular reports with analysis of coding queues
• Acts as a knowledge resource for billing code issues

Emergency Medicine Billing Specialist

Medical Assistant

• Rooming patients and taking vitals
• Assisting with procedures and updating patient electronic medical records accurately and timely
• Providing additional support to office/administrative staff throughout the clinic
• Answering phones, checking in patients, scheduling appointments
• Following up with referrals, ordering supplies, stocking rooms
• Assisting providers with exams and minor in-office procedures
• Coordinating and managing patient care including pre-certifications, referrals, authorizations
• Providing clerical support with patient/client notifications and documentation
• Maintaining a clean, functional environment including cleaning and disinfection of equipment
• Ordering supplies as directed and stocking patient care areas

Customer Support

• Handles incoming requests for referrals for new orders and refills
• Verifies requests and referrals, initiates insurance verification, and gathers information necessary for pre-certifications
• Builds equipment orders using patient medical record information
• Provides verbal and written instructions to patients and families regarding products and services
• Data entry of patient intake information into the computer system
• Coordinates delivery of requested services and referrals
• Facilitates problem-solving with patients, hospitals, providers, and insurance companies
• Extensive interaction with internal departments and external sources to coordinate patient services

HME Customer Care Representative

• Provides clinical expertise and oversight in the determination of the clinical appeals and denial management process resulting in significant savings for the organization.
• Evaluates and intervenes retrospectively for coverage issues, payor outliers, split billing, disallowed charges, incorrect DRG codes, denial and compliance issues.
• Quantifies, analyzes, and monitors industry/Medicare trends in order to reduce denials and improve the financial outcomes for the organization.
• Serves as a resource and provides leadership assistance to achieve optimal clinical, operational, financial, and satisfaction outcomes across the system as related to federal, state and commercial reimbursements.
• Supports change and participates in the development, implementation and evaluation of the goals/objectives and process improvement activities across the organization as related to federal, state and commercial reimbursements.

RN Denial Management Specialist

Director

• Oversee the daily operations of the Flight Services
• Contribute to development of services, programs, goals, objectives, policies and procedures
• Support implementation and management of operational and capital budgets
• Provide appropriate representation at meetings and on hospital committees
• Collaborate with Medical Staff and Clinical Staff regarding flight programs and services
• Continually evaluate performance relative to need for improvement of processes
• Manage staff resources by overseeing the recruiting, selecting, hiring and orienting of qualified individuals
• Develop and monitor applicable policies and procedures
• Report directly to the designated Administrative position within the facility

Associate Director, RN Flight Services

• Handles incoming requests for referrals for new orders and refills.
• Receives and verifies requests and referrals, initiates insurance verification and gathers all information necessary for pre-certifications, authorizations, and certificates of medical necessity.
• Provides ongoing follow-up of requests up to, and following, patient discharge.
• Builds equipment order using information in patient medical record to coordinate patient services.
• Ability to review and offer alternate product support and suggestions to improve patient care and quality outcomes.
• Provides verbal and written instructions to patients, families, and coordinating resources regarding provision of products and services, reimbursement and patient financial responsibility.
• Performs data entry of patient intake information into computer system and records insurance information and authorization requirements and notes in the computer system.
• Coordinates delivery of requested services and referrals as appropriate.
• Facilitates problem solving with patients, hospitals, providers, referral sources, insurance companies, and clinical staff.
• Trains and provides mentor support for new staff members.
• Serves as a role model within the Customer Care Specialist team.

Senior Customer Care Representative

Patient Service Representative

• Pre-register and financially clear patients scheduled for services
• Verify demographics and insurance eligibility
• Create patient estimates and review prior balances
• Communicate and educate patients on insurance benefits
• Collect patient responsibility and develop payment plans

Patient Access Pre-Service Representative

• Lead the Identity and Access Management (IAM) team
• Manage user access provisioning and privileged access management
• Collaborate with business teams and leadership
• Drive efficiency and metrics tracking

Director, IT Identity & Access Management

Scheduler

• Coordinates the scheduling of appointments for physicians
• Obtains necessary authorizations, pre-certifications and/or referrals
• Provides customer service for patients and families
• Schedules and re-schedules patients as necessary
• Answers incoming calls and documents correspondence
• Assists physicians in examination room when required
• May have supervisory accountability and/or provide direction to support staff
• Assuring efficient scheduling and workflow while maintaining outstanding customer relations

Physician Practice Scheduler

Consultant

• Execute internal audits from planning through reporting across operational, financial, and compliance areas.
• Develop and perform process walkthroughs, evaluate control design and effectiveness, and communicate results to management.
• Assess key risks, plan audits, and evaluate internal controls' design and effectiveness.
• Communicate audit results effectively and provide meaningful recommendations.
• Work closely with management and other departments to ensure timely completion of audits.

Senior Internal Audit Consultant

• Performs nuclear medicine procedures by following and verifying referring providers’ orders
• Educates patients/families regarding procedure and/or treatment to be performed
• Produces high quality images and prepares/presents them with other pertinent patient information for timely interpretation
• Prepares and maintains accurate documentation
• Demonstrates competence in performing prescribed invasive/interventional procedures if applicable
• Demonstrates competence in the administration of radiopharmaceuticals and other approved medications
• Performs and evaluates equipment quality control measurements
• Demonstrates the ability to troubleshoot and notifies appropriate personnel to maintain equipment performance
• Maintains a safe environment for patients, personnel, and visitors
• Adheres to safety policies
• Assures the efficient operation of workflow of the department
• Monitors and maintains an adequate inventory of supplies and material to ensure non-interruption of services
• Independently performs prescribed procedures in accordance with department/facility policies, procedures and protocols to patients