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Guarantor Specialist

Ambulatory Business Office

 

Address   Franciscan Alliance
    1040 Sierra Drive, Suite 400
    Greenwood, IN 46143

Hours  Flexible hours; 25 hours per week Monday thru Friday between 7am-6pm

Calendar  Part-Time Benefit eligible

Education Associates Preferred

WHAT WE NEED

Detail-oriented data guru

WHO WE ARE LOOKING FOR

When it comes down to the bottom line, it takes a detail-driven eye to wrap things up. Medical collections are always needed but what happens when there are duplicate accounts or errors in the data? It takes a persistent, organized perfectionist to keep things on the straight and narrow. Maybe it takes you.

Are you good at finding data discrepancies and correcting them? Do you have the skills needed to find the right answer? Do you love making sure things are in order? If you answered yes, keep reading.  

WHAT YOU WILL DO
  • Evaluates potential duplicate Guarantor accounts across Franciscan departments and determine the appropriate patient guarantor assignment.
  • Communicate with users to ensure the integrity of guarantor data for items such as date of birth and social security number.
  • Determine the root cause of Patient and Guarantor errors and correct them utilizing appropriate PA processes.
  • Identify any data integrity issues and report those items to the Corporate PA Manager and the Director of Audit and Compliance for review.
  • Report findings on data integrity and patient records to the Corporate Patient Access Manager-Ambulatory Service, and work with FPN sites, ABO/CBO staff, and other Revenue Cycle staff to address improvement opportunities.
  • Document and maintain trend logs to assist with further monitoring and determining progress and positive outcomes.
  • Ensure Ambulatory standards of performance are met via Ambulatory WQ audits and monitoring of productivity and quality reporting.
  • Provide continuous feedback to Management and the Revenue Cycle training team to ensure quality standards and goals are met.
  • Document department and type of errors for reporting to appropriate department manager.
  • Identify knowledge gaps and determine training and reporting needs.
  • Assist the Ambulatory PA access team with developing, coordinating and evaluating continuing education for regional office staff based on WQ assessments, QA and performance improvement initiatives.
  • Analyze WQ trends to assess any established opportunities within the revenue cycle processes and policies.
  • Identify errors, and aid in the completion of the Guarantor correction process.
  • Coordinate Guarantor correction activities with Acute and Ambulatory Staff to ensure adherence to established standards.
  • Provide timely and accurate communications and follow-up with all parties involved.
  • Review corrections to ensure data integrity for all patient information.
WHAT IT TAKES TO SUCCEED
  • Prior Revenue Cycle or relevant experience.
  • Basic knowledge of computer software, hardware, and communication devices to perform tasks.
  • Customer service skills.
  • Follow directions as communicated in a variety of ways.
  • Critically evaluate and analyze information in written materials.
  • Knowledge of Patient Accounting / EDI/ Payer sites.
  • HIPPA and Patient Privacy Regulations knowledge.
  • Solve problems by analyzing information and using logic to address issues and problems.
  • Quality improvement processes.
  • Effectively communicate verbally and in writing.


WHAT WE'RE LOOKING FOR

 

1-3 Years Experience

License(s):

Certification(s):

Travel: Never or Rarely

 

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

ADMINISTRATIVE/CLERICAL ​​​​

Greenwood, IN, US, 46143

Part-Time Benefit eligible
Never or Rarely
employmentType:  Part-Time Benefit eligible
Days
Greenwood
IN
46143
1040 Sierra Drive, Suite 400


Nearest Major Market: Indianapolis