Marshfield Clinic Health System

Financial Planning and Analysis

• Responsible for collecting, analyzing and monitoring financial data.
• Develop, prepare, interpret, and monitor financial analysis.
• Prepare forecasts and analyze the company’s short through long term position.
• Provide financial information, serve as a knowledge resource to operations managers and make recommendations to senior management.

Senior Financial Analyst

Medical Billing and Coding

• The Medical Coder-Professional reviews, analyzes and assigns current international classification of disease (ICD) diagnosis codes, current procedural terminology (CPT) codes and other charges as appropriate to include, but not limited to, medical diagnostic, lab, pathology, other ancillary services, minor procedures and E/M coding based on clinical documentation for various practices in the hospital ER/outpatient/observation/inpatient and clinic settings.
• The Medical Coder-Professional understands and applies applicable medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes.
• This position may be trained on reviewing documentation for Hierarchical Condition Categories (HCC).

Medical Coder – Professional

Customer Support

• Ensure positive customer interactions with Medicare Advantage or Commercial/Marketplace members
• Interact with members, applicants, providers, and agents via telephone
• Research and resolve inquiries in a timely manner
• Escalate complex issues to a Benefit Specialist

Customer Service Representative I – SHP

Appointment Setter

• To perform designated tasks related to the operation of the Physical and Occupational Therapy department as they apply to an appointment coordinator and rehab services aide.
• This person is frequently the first contact our customers have with the department and must be able to remain calm in stressful situations and represent the Clinic in a professional manner.
• The position requires the ability to make decisions consistent with protocols and policies of the department and Clinic always with strict observance of patient confidentiality.

Appointment Coordinator – Rehab Services Aide

Manager

• Provide overall care coordination
• Emphasize psychosocial assessment and intervention
• Manage complex discharge planning
• Collaborate with healthcare team members
• Establish and document management plans for patients

Social Work Case Manager – BSW, CSW, MSW

• The Supervisor - Patient Financial Services (PFS) leverages skills, knowledge, and experience to support department leadership with day-to-day management of the assigned area of responsibility within PFS.
• This individual is accountable to deliver team performance goals and maintain quality standards.
• The Supervisor - PFS utilizes good judgment to troubleshoot, assess, and escalate situations when warranted.
• This individual works to build constructive relationships and to improve department processes and outcomes in a way that increases both operational efficiencies and patient satisfaction in alignment with Marshfield Clinic Health System’s strategic objectives.

Supervisor – Patient Financial Services

Operations

• Manage laboratory services within Marshfield Clinic Health System
• Oversee daily operations, regulatory compliance, personnel management, and budgeting
• Develop effective teams and build relationships with Administration, technical specialists, and medical directors

Lab Operations Manager – Phlebotomy, Central

• Responsible for day-to-day operations of assigned areas
• Liaison between physicians, administration, staff, and patients
• Financial management and process improvement implementation
• Manage performance and development of staff
• Assist with strategic initiatives and clinical service delivery

Operations Manager

Revenue Operations

• The Risk Adjustment Revenue Manager is responsible for risk adjustment strategy and related revenue management for Security Health Plan’s Medicare, Affordable Care Act and Medicaid business.
• This individual provides development and implementation of programs and initiatives to improve the accuracy of the coding, including education; retrospective and prospective review processes; and vendor contract management;
• Accountability for preparation for and management of the Centers for Medicare and Medicaid Services (CMS) and the Department of Health Services (DHS) auditing processes;
• Management of encounter data processes; and management of applicable state and federal guidance.
• The Risk Adjustment Revenue Manager works collaboratively with Security Health Plan executives and leadership as well as Marshfield Clinic Health System (MCHS) executives and leadership to lead risk adjustment strategy and process.

Risk Adjustment Revenue Manager

Therapist

• Provides services for the purpose of promoting health and wellness
• Select methods or strategies to direct the process of interventions
• Evaluate factors affecting activities of daily living
• Implements interventions and procedures to promote or enhance safety and performance in activities of daily living
• Perform in a manner consistent with Marshfield Clinic Health Systems’ mission, policies and initiatives while maintaining patient confidentiality at all times.