University Hospitals

Revenue Cycle Specialist

• Position responsible for submitting and resolving medical claims moderate to high complexity.
• Responds to requests from management, staff, or physicians in a timely and appropriate manner.
• Maintains patient and physician confidentiality and professionalism at all times.
• Follow department policies and procedures to ensure accurate and timely claim resolution.
• Effectively communicates utilizing telephone, form letters, e-mail, or internal correspondence to resolve patient inquiries and insurance issues.
• Attends and participates in team meetings.
• Utilizes worklists to review and analyze account balances in order to collect payment for medical services rendered.
• Utilizes multiple system applications to review, update patient information as well as research and resolve outstanding AR balance.
• Assists in the analysis of claims resolution and provides feedback to management for solutions and process improvements.
• Performs follow up with insurance companies to ensure appropriate payment on claims, resolve denials, correct claims, and appeal claims.
• Acts as a liaison with internal and external customers providing assistance in claims and receivables resolution in a high volume environment.
• Documents accounts with clear and concise verbiage in accordance with departmental procedures.
• Reviews and responds to correspondence and inquiries received.
• Meets and exceeds team productivity and quality standards.
• Takes the lead on special projects.
• Participates in staff training.
• Reviews complex claims issues for resolution and recommends process improvements.
• Performs other related duties as assigned.

Revenue Cycle Specialist II, Credit Management

Learning and Development

• Develops and leads the project management, implementation, and facilitation of programs that support OD strategies and desired outcomes.
• Designs curriculums, programs, workshops, and learning resources that are aligned with adult learning practices and research that reflects a diversity of learning styles.
• Facilitates a variety of learning & development programs, presentations, trainings and onboarding activities.
• Collects and assesses data regarding the effectiveness of learning & development initiatives.
• Builds partnerships across the organization with to enhance learning and development programs, and ensure optimal outcomes for OD initiatives.
• Effectively and consistently navigates ambiguous project environments; organizes work efforts and deliverables with a concern for order, quality, and accuracy.
• Performs other duties as assigned.

Organizational Development & Learning Professional – OD&L

Accounts Payable

• Processes purchase order supplier invoices through KTM in a timely manner and meets targeted quotas.
• Reviews and approves Non-PO invoices (SSI) according to policy and procedure and meets targeted quotas.
• Reviews and resolves Markview systems working folder on a timely basis.
• Coordinate the resolution of SSI invoice issues with end users via numerous communications methods, emails, phone calls, etc.
• Coordinate the resolution of sending PO invoice issues to Sr. Rep/Buyers.
• Instruct and answer questions on the submission process according to policy & procedure.
• Resolves Markview backlog queues as assigned by Corporate Accounts Payables Manager, opens mail, and scans supplier invoices into Kofax systems.
• Completes monthly processing of selected uploads.
• Answers and effectively resolves internal and external phone calls in a timely manner.
• Performs various projects, special assignments and report generation as requested by Financial Services Management.
• Assumes additional responsibilities and performs special projects as directed.
• Performs other duties as assigned.

AP Specialist

Photographer

• Captures photo and video content, including operating cameras, lighting and audio equipment
• Develops finished creative assets for use across multiple channels incorporating team feedback
• Collaborates with marketing and creative teams to assist in planning and executing multimedia projects
• Contributes ideas and concepts aligned with campaign or project objectives
• Ability to work on multiple projects at once to meet established deadlines
• Remains abreast of advances in the field, including creative trends, tactics and technology
• Maintains multimedia equipment, ensuring quality and functionality for production use
• Supports in decision-making for new equipment as needed
• Adheres to departmental policy regarding organized retention of multimedia files
• Organizes all digital assets into established repositories per department standard
• Maintains professionalism and privacy as required of a healthcare organization

Multimedia Specialist, Photographer/Videographer

Billing Specialist

• Leads needs assessment, software design, implementation and support.
• Collaborates with reporting team to support operational partners need to gather requirements.
• Independently facilitates design of workflows in conjunction with the appropriate subject matter experts; workflows will focus on designing improved efficiencies, solving complex workflow issues and incorporating quality initiatives.
• Mentors other analysts with completing design workflows and analysis.
• Leads functional and integrated testing of the software to ensure that the design objectives are met, including the development and validation of testing scripts.
• Defines and develops user access security to protect the system while providing users with the access required.
• Oversees, reviews, and moves build to production as required.
• Comprehends with high degree of clinical or business departments’ processes and partners with them to develop supporting workflows.
• Evaluates possible implementation of new technology, consistent with the goal of improving existing systems and technologies and in meeting the needs of the business.
• Participates and contributes in operational meetings to provide Information Technology support and expertise.
• Performs unit testing of all need build they are assigned and assists other application analyst as needed.
• Leads functional and integrated testing of software to ensure that design objectives are met, including development and validation of testing scripts.
• Develops, modifies and maintains integrated testing scripts owned by their areas.
• Leads projects following the framework of the Enterprise Project Management Office on all phases of a project from scoping and design through implementation and transition to operations.
• Collaborates across teams to develop change management strategy and plans for implementations.
• Develops plans to address impacts from system changes when implementing new functionality.
• Supports and troubleshoots interfaces for inbound/outbound transaction errors; helps monitor interface error queues.
• Troubleshoots application issues, with/without vendor assistance to resolution.
• Leads escalation of issues with appropriate internal resources, to resolution.
• Independently leads application upgrade tasks and troubleshooting efforts and provides guidance to application analysts and leadership.
• Maintains security for assigned applications.
• Develops policies and procedures in collaboration with clinicians, other system analyst team members, and IT Epic team manager.
• Creates and maintains system documentation; ensuring that documentation is updated accurately and timely.
• Guides other team members in ensuring good documentation standards and coordinates efforts to maintain appropriate system documentation.
• Provides input to components of development of end-user training materials and participates in training efforts.

Senior Application Analyst – Hospital Billing Claims

Human Resources

• Provides Human Resources policy interpretation and guidance to leaders and employees.
• Partner with business units and entity Human Resources leaders to develop effective strategies to proactively manage employee issues/situations and mitigate risk.
• Acts as primary interface between business unit leadership for all HR needs and partners with HR Leadership to align initiatives with business entity goals.
• In collaboration HR Manager/Director assists with change management initiatives in assigned business units.
• Performs analysis on HR items such as turnover, retention, compensation, etc. and makes recommendations for changes to management.
• Uses data analytics to evaluate, make recommendations and partners with operational leaders to influence change or drive improved results.
• Performs other duties as assigned.

HR Business Partner

General

• Position responsible for submitting and resolving medical claims moderate to high complexity.
• Must remain current with governmental and third party billing, follow-up and appeal requirements for compliant billing and follow-up of both inpatient and outpatient claims for all wholly owned facilities and physician entities including internal and external policy requirements.
• Responds to requests from management, staff, or physicians in a timely and appropriate manner.
• Maintains patient and physician confidentiality and professionalism at all times.
• Follow department policies and procedures to ensure accurate and timely claim resolution.
• Effectively communicates utilizing telephone, form letters, e-mail, or internal correspondence to resolve patient inquiries and insurance issues.
• Attends and participates in team meetings.
• Utilizes worklists to review and analyze account balances in order to collect payment for medical services rendered.
• Utilizes multiple system applications to review, update patient information as well as research and resolve outstanding AR balance.
• Assists in the analysis of claims resolution and provides feedback to management for solutions and process improvements.
• Performs follow up with insurance companies to ensure appropriate payment on claims, resolve denials, correct claims, and appeal claims.
• Acts as a liaison with internal and external customers providing assistance in claims and receivables resolution in a high volume environment.
• Documents accounts with clear and concise verbiage in accordance with departmental procedures.
• Reviews and responds to correspondence and inquiries received.
• Meets and exceeds team productivity and quality standards.
• Takes the lead on special projects.
• Participates in staff training.
• Reviews complex claims issues for resolution and recommends process improvements.
• Performs other related duties as assigned.

Revenue Cycle Specialist II

Customer Support

• Handles inbound and outbound customer calls minimally half the time to resolve inquiries in a timely and accurate manner
• Research and document all information from phone conversations and applies the appropriate transactions as appropriate to patient accounts
• Works with internal and external resources as appropriate to support requests needed
• Process payments by phone via electronic check, credit card, hard copy, payment database or any other approved means
• Understand, explain, execute and help determine eligibility for hospital financial assistance programs
• Assist patients with payment plan arrangements including collecting initial down payment as part of the process
• Identify patient or customer needs, clarify information, research and analyze issues, and provide solutions and/or appropriate alternatives
• Maintains patient and physician confidentiality and professionalism in accordance with departmental and HIPAA guidelines
• Performs various duties such as: researching accounts, processing adjustments, refunds, and responding to patient correspondence
• Coordinates with agencies and other departmental vendors as appropriate to resolve patient accounts
• Monitors self-pay accounts and reviews accounts according to department policies

Customer Service Billing Representative

Medical Billing and Coding

• Responsible for accurately and timely coding of moderately complex encounters following established coding, CMS regulations and hospital guidelines.
• Reviews moderately complex medical records to identify sequence, code diagnoses and procedures according to established coding, CMS and hospital guidelines.
• Responsible for accurately coding hospital same day surgery, observations, ancillary, ED encounters and/or professional services.
• Ensures optimal CPT, ASC, APC, APG assignment as applicable.
• Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD, and MUE.
• Supports OP Clinical Documentation Improvement program.
• Maintains productivity and quality rate according to established standards.
• Works within UH Billing time frames.
• Maintains up to date credentials.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).

Outpatient Coding Specialist II

Payroll

• Provide analysis of all payroll taxes and W2 wages for approximately 33,000 employees
• Analyzes every pay run (Bi-Weekly/Semi-Monthly) to determine taxable wage and tax withholding variances
• Make corrections as necessary
• Maintain a solid business relationship with ADP for the organizations payroll tax filings
• Ensure compliance with all federal, state and local tax laws and regulations in the payroll system
• Partner with ADP to ensure accurate and timely payroll tax reporting
• Resolves and/or notifies Manager of any tax issues during the payroll processes
• Prepare per pay, quarter and year end reconciliation spreadsheets to validate payroll totals
• Responsible for managing current tax accounts and making updates or closing accounts
• Assist employees with questions related to tax issues
• Run and reconcile tax reports every payroll

Payroll-Tax Specialist

Clinical Research

• Works to obtain and maintain a current understanding of Federal, State and local laws, regulations and guidelines governing human subject research (15%)
• Reviews human research protocol submissions to ensure that the UHCMC clinical research activities are conducted in compliance with IRB policies, institutional SOPs and international, federal, state, and local rules, regulations and ethical principles regarding the use of human subjects in research. (30%)
• Coordinates IRB meetings including preparation of the agenda and materials in addition to recording medical and ethical issues discussed to ensure accurate documentation of IRB determinations. (25%)
• Functions as a liaison within and between the IRB committees, investigators and their designees, and Center for Clinical Research and Technology (CCRT) staff. (15%)
• Participates in special projects. (15%)
• Performs other duties as assigned.
• Complies with all policies and standards.

IRB Specialist I, Clinical Research

Risk

• Support operational functions of the Patient Advocacy Reporting System (PARS) and Corporate Risk Management programs
• Schedule meetings and manage communication
• Participate in annual reporting visits and manage document distribution
• Administer the UH Sponsored Physician Program
• Assist in managing the System's insurance and reinsurance programs
• Compile underwriting data and assist in claims management processes

Professionalism & Risk Management Coordinator

Auditor

• Performs complex audits in assigned areas of the Health System under limited oversight of the audit leader.
• Plans the daily activities in the performance of internal audits.
• Partner with management to review the process under audit in order to identify sound recommendations for improvement.
• Prepares clear, concise, and accurate work papers in a timely manner and according to departmental guidelines.
• Prepares written audit findings and recommendations in a logical, clear, and concise manner for discussion with management.
• Reviews management action plans and verifies that identified risks have been mitigated.
• Serve as team member and assist on UH initiatives, as needed.
• Participate in the annual risk assessment process in order to identify risks and potential audits for inclusion in the annual audit plan.
• Lead opening, closing, and ad-hoc presentations to management as needed.
• Work with department leadership to identify and implement improvements to Internal Audit core processes.

Senior Clinical Auditor

Medical writer

• Ensures documentation is accurate and complete by performing timely medical record review and determination of code assignment by applying clinical and/or coding expertise to identify opportunities for improved or clarified documentation that accurately reflects the patient complexity and resource utilization.
• Direct and timely follow-up with clinical providers to ensure requested clarification is provided.
• Responsible and accountable for expanding CDI and coding knowledge (keeping up to date on latest research, technology, treatment modalities, etc.)
• Utilizes critical thinking/problem solving processes
• Appropriately utilizes and interprets professional association resource materials and regulatory agencies guidelines to enhance own skill sets: Coding Clinics, AHIMA, CMS guidelines
• Identifies query opportunities for record integrity
• Is proficient in query writing so that the question is easily understood by the physician
• Query writing is AHIMA compliant per practice briefs
• Escalates non-response to query by physicians immediately according to query escalation policy
• Collaborates with the coding team
• Demonstrates proficiency in reviewing increasingly complex cases.
• Actively engages in educating physicians and other clinical care providers regarding clinical documentation in a variety of formats including participation in clinical rounding, service line focused education sessions and one to one case specific feedback.
• Applies knowledge of health care workflows in order to work collaboratively with medical staff and other health care team members to improve the overall accuracy and comprehensiveness of medical record documentation, with focus on ensuring accurate reporting of quality outcomes.

Clinical Documentation Integrity Specialist II

• Coordinate and facilitate the clinical trial data for participants enrolled in clinical research studies conducted by principal investigator(s)
• Assist and complete case report forms entry, review and abstraction required to conduct clinical research
• Provide timely and professional ongoing data entry of clinical trial data by identifying errors and inconsistencies
• Assure that the integrity and quality of the clinical research trial is maintained