Lourdes Health System

Analyst

• Perform quantitative and financial analysis along with audits designed to identify opportunities for improvement across the full spectrum of the Revenue Cycle.
• Assists in ensuring that the charge master and fee schedules are in accordance with government compliance policies and procedures, as well as third party payor needs.
• Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes by timelines set.
• Works with revenue producing departments to ensure the ongoing coordinated consistency of the charge master and fee schedules, including accurate descriptions, coding, additions, deletions, pricing, and any other changes.
• Conduct analytical reviews determine net revenue effect of proposed charge master and fee schedule changes.
• Perform internal billing audits to ensure correcting coding/billing regulatory compliance and charge capture accuracy.
• Incumbent must develop close working relationships with management and staff in Revenue Integrity, Finance, Information Technology and Revenue and Clinical Operations allowing them to perform deep-dive analysis and reviews assisting with the identification of trends, solutions and potential corrective action steps.
• Will work both independently and have a high level of self-directed work efforts as well as be an integral part of the Revenue Integrity Team.
• Revenue Cycle will include areas from Hospital, Physician and Home Health.
• Monitor and assists with review of revenue cycle work queues in Epic.
• Perform analysis to identify issues, trending, root cause, and action plan development with work queue issues.
• Assist in strategic pricing process to optimize reimbursement within budget guidelines.
• Participate in ongoing coordination and resolution of revenue issues as they arise.
• Assists in troubleshooting and resolving issues related to the patient revenue cycle and assists in development and recommendations.
• Provide guidance and communication and collaborate with Revenue Integrity Team, Clinical Operations and IT to help ensure work queue rules are accurate and updated based on annual and quarterly coding changes.
• Assist with Epic performance reporting, including assisting with Revenue & Usage, Enterprise Charge Reconciliation and Volume Reports.
• Work queue and reporting will include areas from Hospital, Physician and Home Health.
• Serve as resource to Patient Financial Services staff for reporting problems and denials on individual claims.
• Assist in researching coding issues, provide guidance and recommend solution to account representative.
• Analyze billing errors and denial data to identify root cause of issues.
• Work with Revenue Integrity Team, Clinical Operations and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate and reimbursement.
• Claim issues and denials will include areas from Hospital, Physician and Home Health.
• Lead and participate in projects related to Revenue Cycle initiatives.
• Participate in ongoing coordination and resolution of revenue issues as they arise.
• Provide input to Director and Manager for annual Revenue Integrity planning process.
• Assist with additional projects as needed for Hospital, Physician and Home Health.

Revenue Integrity Analyst – Epic Revenue Cycle Analyst

Medical Assistant

• Prepares patient for exam by obtaining and documenting vital signs, and chief complaint, and preparing patient for provider exam
• Performs phlebotomy and obtains specimens for processing
• Administers vaccines and completes required documentation
• Performs diagnostic tests such as EKG, Pulmonary Function, etc. as directed and under the supervision of the physician
• Screens and directs patient calls according to established protocol
• Contacts patients regarding prescriptions and testing results as directed by and under the supervision of the physician
• Performs daily regulatory testing as required and documents accordingly
• Maintains par level of clinical supplies for facility
• Performs front desk duties as directed which may include registering patients, billing, and appointment scheduling

Medical Assistant – Maternal Fetal Medicine

Patient Care Coordinator

• Monitors and/or performs daily administrative coordination of patient experience through scheduling of administrative appointments, follow up diagnostic testing, monitoring of testing results, ongoing communication with patient, physicians and multi-disciplinary departments
• Prepares charts for new patient consult by coordinating testing reports, insurance referrals, and other appropriate documents necessary for efficient consult
• Assists with patient supplemental testing coordination and scheduling, including provider and staff tasking, prescription coordination and follow communication with patient
• Enters data and documentation in patient health database, as well as practice logs
• Assists with any patient billing inquiries regarding visits or testing
• Initiates and tracks pre-authorizations for supplemental testing
• Provides administrative support to Physicians and Practice Manager as needed regarding correspondence, patient record, documentation and office administrative information
• Assists with Practice office team regarding additional administrative functions including scanning, faxing, copying patient records
• Assists as needed with front desk functions and patient assistance via check in and check out
• Answers practice telephone calls as necessary

Patient Care Coordinator – Women's Health

• Prepares patient and assists clinical provider with patient examination by obtaining and documenting vital signs, past medical history, social history and chief complaint
• Performs various clinical tasks within the scope of their certification and under the supervision of the physician.
• Performs phlebotomy and obtains specimens for processing
• Administers vaccines and completes required documentation
• Performs diagnostic tests such as EKG, Pulmonary Function, etc. as directed and under the supervision of the physician
• Screens and directs patient calls according to established protocol
• Contacts patients regarding prescriptions and testing results as directed by and under the supervision of the physician
• Performs daily regulatory testing as required and documents accordingly
• Maintains par level of clinical supplies for facility
• Performs front desk duties as directed

Medical Assistant, Women's Healthcare

Executive Assistant

• Greets patients and other visitors
• Maintains patient flow
• Addresses and resolves routine inquiries
• Screens and handles calls and correspondence for materials, records, appointments, ensuring HIPAA guidelines are followed
• Sorts and distributes mail
• Performs general registration and billing, obtaining pre-certifications, verifying coding, insurance, medical records, and referrals
• Acts as a liaison with Patient Accounting and/or Physician billing services
• Produces, processes and maintains documentation and reports
• Schedules management appointments, meetings, conferences
• Assists in orienting new office staff
• Maintains office equipment and ensures supply levels

Medical Secretary, Laboratory

• Responsible for enhancing, supporting, and maintaining IT applications within the Virtua Health System
• Provide technical and functional application analysis, define system requirements, and develop logical data models using best practices for build and configuration, maintenance, and data integrity
• Ensure system changes follow change management procedures and protocols
• Create and maintain all documentation for all assigned applications
• Develop, plan and execute testing for supported applications
• Knowledge and adherence to cybersecurity and HIPAA policies and practices
• Provide day-to-day support of IT applications including error management, testing, maintenance and troubleshooting of IT systems
• Collaboratively work with vendors and IT partners to ensure on-going service and resolution of issues during upgrades and project
• Monitor ServiceNow ticketing queue to quickly troubleshoot incoming ticket incidents and requests

IS Applications Analyst, Professional Billing Claims and Remittance

Consultant

• Collaborate with a team to provide high-quality patient care
• Engage with patients and their families
• Participate in care planning and implementation
• Provide assistance with daily living activities

Extremal Consultant

Accounting Manager

• Manages and coordinates the daily work and operations of the finance staff.
• Oversees monthly financial statements, stakeholder statements, budget, statistics, revenue, expense and reviews variance analysis.
• Evaluates, recommends and implements systems, policies & procedures.
• Establishes and maintains effective communications with operational managers to review budget variances and promote resource stewardship.
• Reviews the preparation of the monthly financial, budget and statistical statements, account analysis of balance sheet, expense and revenue accounts. Checks for thoroughness, staff follow-through, and empowers the staff to make recommendations for improvements.
• Provides leadership and day to day direction for the finance department.
• Effectively utilizes staff to perform at optimal levels.
• Organizes and directs accounting personnel in collecting, summarizing, and interpreting financial data for use by management.
• Manages the process for the completion of all financial reporting to Regulatory Agencies, including Federal and State.
• Manages the year-end financial audit and quarterly and annual surveys, including the preparation of work papers, and interaction with internal and external auditors.
• Manages and coordinates the annual budget process, educates and assists operational leadership with departmental workbooks and summarizes budget detail for senior management.
• Implements new systems related to financial controls and assists in matters as they relate to financial operations.
• Serves as System Administrator in various financial systems.

Accounting Manager – Joint Ventures

Data Analyst

• Supports finance team by ensuring the accuracy, integrity, and optimization of data across financial systems.
• Maintaining, validating, and analyzing financial data to support key business decisions.
• Assisting the Manager Financial Systems in streamlining and enhancing the financial reporting processes.
• Assist in maintaining and updating financial systems, ensuring data accuracy and consistency.
• Creation and maintenance of financial reports, dashboards, and performance metrics.
• Works closely with IT to coordinate and support system upgrades, testing, and implementations.
• Assists Manager Financial Systems as a point of escalation when system issues occur.
• Provides training and support to financial systems users.
• Ad hoc reporting to assist in identifying opportunities for system improvement.