St. Charles Health System

Customer Support

• Responsible for scheduling all cardiovascular diagnostic exams and outpatient appointments
• Provides telephone and digital support for patients, representatives, and provider offices
• Pre-registers patients and schedules appointments accurately as ordered by the patient’s provider
• Handles a high volume of incoming calls quickly and accurately
• Demonstrates strong knowledge of medical terminology and cardiovascular procedures
• Ensures required referrals, authorizations, and documentation are complete before scheduling

Centralized Scheduling Support Specialist, Cardiology

• Responsible for effective creation, organization, updating, implementation, monitoring and reporting of scheduling templates.
• Work to create and implement revenue cycle operational policies and procedures.
• Create and maintain strong collaborative relationships with cardiovascular department leaders.
• Responsible for daily, weekly, and monthly monitoring and reporting of access and operational data.
• Interface with health system’s information systems and IT teams for report development.

Operational Support Specialist – Cardiovascular

Therapist

• Provides respiratory assessment, support, treatment and diagnostic tests as part of the healthcare team
• Manages, assesses, plans, and evaluates care for patients with acute and/or chronic cardiopulmonary deficiencies
• Conducts assessment and implementation of oxygen therapy
• Provides a therapeutic presence in service to others

Registered Respiratory Therapist

Insurance

• Bill facility (HB) and professional (PB) claims to insurance payers or other entities per SBO standard work.
• Submit basic itemized statements, medical records, and other required information to insurance payors via clearinghouse, mail, or other electronic means.
• Verify and update insurance coverage as applicable using EHR tools, payer websites, or via phone calls to payers.
• Resolve complex billing related claim edits within EHR, DNBs and Stop Bills.
• Resolve complex payer rejections including Medicare return to provider (RTP) and clearinghouse rejections (277’s).
• Split and combine claims as required by payer.
• Obtain ICN’s for pending corrected claims using EHR tools, payer websites, or via phone call to payers.
• Apply intermediate knowledge of current reimbursement methodologies as defined by department complexity matrix.
• Apply intermediate knowledge of billing requirements as defined by department complexity matrix.
• Process late charges using the late charge functionality.
• Generate and release medical records.
• Split charges to a separate HAR or liability bucket and combine charges to a single HAR as needed.
• Submit corrected claims.
• Update claim information including ICN, authorizations, billing information, or other required claim elements.

Insurance Biller

Accountant

• Acts as primary contact with the commercial banking community
• Establishes strategy for bank relationship development and maintains corporate banking relationships
• Creates and maintains short, medium, and long-term cash forecasts to support liquidity analysis and investment strategy
• Manages and monitors compliance with all debt covenants and reports on status on a regular basis

Senior Treasury Accountant, Cash Manager

• Evaluates, plans, and provides treatment and rehabilitation as prescribed by a referring physician
• Works with family and team members regarding patient’s abilities and goals
• Provides occupational therapy evaluation and treatment to achieve desired outcomes
• Participates in clinical care conferencing
• Gathers data and accurately documents information in a timely manner
• Supports the vision, mission and values of the organization

Occupational Therapist

Medical writer

• Provides clinical based review and analysis of the documentation in the patient’s medical record
• Supports accurate capture of patient’s complexity and severity of illness
• Utilizes queries of medical staff and other caregivers to clarify and support completeness of documentation
• Collaborates with physician, mid-level providers, and medical records coders to identify principal and secondary diagnoses
• Conducts initial and ongoing concurrent and some retrospective reviews for system wide admissions
• Initiates tracking process and documents findings on EHR tracking system
• Communicates with providers to capture accurate documentation of patient’s severity of illness

Clinical Documentation Specialist – Level 3

Data Analyst

• Applies analytics to support SCHS strategic priorities and drive Quality System Key Performance Indicators (KPIs).
• Supports data analysis, goal and target setting, and KPI performance improvement.
• Sourcing, compiling, analyzing, and validating quality data.
• Preparing internal and external reports.
• Providing technical support and oversight for routine statistical reporting and ad hoc analyses as directed by the Quality Manager.
• Collaborates closely with teams including Caregiver Safety, Regulatory, Infection Prevention, Business Intelligence, Epic and Clinical Informatics, Finance, Lean Improvement, HRIS, Clinical Documentation Integrity, Patient Safety & Risk, Patient Experience, and Medical Staff.