Northeast Georgia Health System

Data Analyst

• Monitor data metrics and prepare dashboards for relevant quality metrics
• Monitor compliance with Quality metrics as assigned by leadership
• Support Quality Committee and Clinical Councils related to quality metrics
• Obtain data from existing/future organizational information systems to support/enhance clinical and business decisions
• Work with Neurosciences depts and leadership on quality process improvement projects as requested by leadership
• Assures the production of clear and concise appropriate quality dashboards
• Ensures appropriate data is represented and entered on respective quality dashboards
• Develops structured process for specific requests, information or studies
• Responsible for providing quality data to support the Neuroscience Service Line certification programs
• Uses existing reporting dashboards for analysis
• Creates new dashboards or reports as needed to achieve quality metrics for process improvement projects
• Facilitates collaboration for process improvement
• Provides support to Neurosciences services staff as required for service line quality functions
• Supports staff and encourages in them a sense of ownership of their work process
• Maintains system confidentiality with all PHI and registry data
• Assigns weekly cases to the Neuroscience abstractors and ensures completion
• Monitors data submission to registries to ensure accuracy

Registered Nurse RN, Data Analyst – Neuroscience, Part Time, Days

Call Center Representative

• Handle high volumes of inbound and outbound patient billing calls
• Address inquiries and complaints related to professional and facility services
• Explain insurance responsibilities and communicate denial reasons
• Help patients understand the medical billing process for services rendered
• Resolve billing inquiries and complaints, ensuring accurate documentation of all interactions
• Perform required actions to correct balances found to be in error
• Analyze all details of accounts for accuracy and resolve insurance questions
• Research all patient complaints and inquiries in a timely manner

Patient Contact Center Representative II

Medical writer

• Participate in daily activities of the Clinical Documentation Department
• Perform department audits and 2nd level reviews
• Provide orientation and training for CDI staff
• Support development of focused provider education
• Maintain knowledge of program metrics and data reporting

Registered Nurse, Clinical Documentation – CDI Educator/Auditor, CCDS Required

• Handling outbound and inbound patient phone calls related to patient collection activities
• Providing efficient and professional customer service
• Researching and documenting all performed work
• Referring patient accounts to bad debt agencies appropriately
• Managing high-volume inbound and outbound calls related to patient collections
• Addressing patient inquiries and concerns
• Researching account details
• Documenting all interactions accurately
• Ensuring appropriate referral of accounts to bad debt agencies when necessary

Patient Contact Center Representative I – Billing, Collections

• Handle high volumes of inbound and outbound patient billing calls
• Address inquiries and complaints related to professional and facility services
• Explain insurance responsibilities and communicate denial reasons
• Help patients understand the medical billing process for services rendered
• Resolve billing inquiries and complaints while ensuring accurate documentation of all interactions

Patient Contact Center Representative, CPAR Required

Auditor

• Conduct coding/billing/documentation audits of all NGPG/NGHS Providers
• Determine organizational integrity of coding/billing for professional services
• Detect and correct documentation, coding and billing errors
• Evaluate the adequacy and accuracy of documentation to support services billed including ICD-9/ICD10/CPT/HCSPCS
• Ensure the medical necessity of services, compliance with documentation, coding and billing standards
• Apply standardized audit scoring methodology to evaluate consistency of documentation and coding
• Communicate audit results to physicians and staff
• Provide physician and coder education
• Make recommendations to management for corrective action
• Serve as a subject matter expert on documentation and coding rules and regulations

Coding Education and Quality Auditor

Medical Reviewer

• Provide clinical screening assessments of prospective Medicaid or Disability candidates
• Assist patients and families with navigating through the Medicaid or Disability application process
• Provide medical record analysis to support departmental functions
• Review medical records to determine emergency services provided
• Coverage for precertification tasks as needed

Licensed Practical Nurse, Clinical Review Specialist

Manager

• Manage the overall operations for both physician and hospital cash posting departments.
• Provide daily management and leadership to the Cash Applications Group, ensuring that staff is adhering to departmental procedures.
• Continually evaluate the effectiveness of operational procedures and controls to maximize departmental productivity and minimize errors made by staff.
• Responsible for ensuring Cash Applications team is adhering to internal controls.
• Develop and monitor key performance indicators for the cash applications group.

Cash Applications Manager

• Handle high volumes of inbound and outbound patient billing calls
• Address inquiries and complaints related to professional and facility services
• Communicate denial reasons and explain insurance responsibilities
• Manage billing inquiries and ensure accurate documentation of all interactions
• Perform required actions to correct account balances
• Research patient complaints and inquiries in a timely manner
• Follow required insurance billing processes
• Maintain understanding of health insurance and collection processes
• Document patient accounts thoroughly for future reference

Patient Contact Center Representative II – Medical Billing, Collections

Customer Support

• Handling outbound and inbound patient phone calls related to patient collection activities
• Providing efficient and professional customer service
• Researching and documenting all performed work
• Referring patient accounts to bad debt agencies appropriately
• Managing high-volume inbound and outbound calls related to patient collections
• Addressing patient inquiries and concerns
• Documenting all interactions accurately

Customer Service Representative I – Patient Contact Center – Billing/Collections

• Handle outbound and inbound patient phone calls related to patient collection activities.
• Provide efficient and professional customer service.
• Research and document all performed work.
• Refer patient accounts to bad debt agencies appropriately.
• Manage high-volume inbound and outbound calls related to patient collections.
• Deliver professional service while addressing patient inquiries and concerns.
• Research account details and document interactions accurately.

Customer Service Representative I – Patient Contact Center Collections

• Conduct coding/billing/documentation audits of all NGPG/NGHS Providers
• Determine organizational integrity of coding/billing for professional services
• Ensure the medical necessity of services and compliance with documentation, coding and billing standards
• Apply standardized audit scoring methodology to evaluate consistency of documentation and coding
• Communicate audit results to physicians, physician leadership, senior management, Compliance department and staff
• Provide physician and coder education and make recommendations for corrective action
• Evaluate the quality of clinical documentation to identify incomplete or inconsistent documentation