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Operations Specialist

POSITION SUMMARY: The Operations Specialist reports to the Director of Patient Financial Services and is responsible for the coordination of activities as they relate to the processes and procedures of the Patient Access Department or Patient Financial Services Department including reviewing and providing department statistical variances as they pertain to goals and benchmarks offering recommendations to Management, developing and implementing new processes as they pertain to the department, arranging and delivering education and support to staff as well as management for new and existing initiatives as identified by the Director of Patient Financial Services.. ################ EDUCATION/CERTIFICATION: Must have a High School degree or GED equivalent. EXPERIENCE: Have a minimum of 5 years leadership experience in a Hospital or physician office setting.# Background in Patient Access and billing and collections preferred. Working knowledge of healthcare reimbursement and general payer guidelines. COMPETENCIES: This position requires an incumbent with a strong grasp of the English language, as well as at least an intermediate working knowledge math, including statistics, in order to assist in the development and monitoring of performance as it relates to process improvement, benchmarks and goals.## Ability to gather and disseminate information through effective communication with a diverse range of people, with a variety of skill sets. Personal computer skills to perform the essential duties of this position require the use of windows based EXCEL, WORD, POWERPOINT and OUTLOOK software programs. Must be able to lead by example as it pertains to ECHN Core Values. Exhibit sound judgment in handling/escalating difficult situations and good organizational, time management, interpersonal, and conflict resolution. Excellent training and coaching skills. Understand functions and duties as they relate to the roles and responsibilities of staff, such as registration, time of service collections, insurance eligibility identification, billing, collections, denials, etc. Ability to learn multiple systems, including those utilized by patient service lines. Requires critical thinking skills to develop and implement new processes. Multi task and prioritize demands. ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job.# They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time.# # Job-Specific Competency 1.##### Mentors and provides the necessary tools for staff as processes are introduced or improved. 2.##### Effectively navigates the present ADT system as well as all necessary software programs critical to the workflow processes of Patient Financial Services or Patient Access to include Admissions and Billing and Accounts Receivable. 3.##### Participate in both internal and external staff training, developing material and training guidelines. 4.##### Uses benchmarking, outcome measurements and metrics to analyze and improve the quality of products and services. 5.##### Remains current with both state and federal government guidelines/regulations, sharing information with the appropriate ECHN staff members. 6.##### Creates and implements financial process improvement plans both internally and with ancillary areas when necessary and documents the outcome. 7.##### Reports on a timely basis to the Director the progress of initiatives, including statistics, barriers, and outcomes. 8.##### Assists in development, revision and implementation of departmental policies, procedures and protocols. 9.##### Supports other service line areas with day to day operations and process or system improvements related to the financial health of the organization to avoid billing delays and encourage maximum reimbursement. 10.# Supports management with the provider enrollment process. 11.# Identifies any potential new or ongoing financial reimbursement issues as they relate to the PFS or Patient Access workflow, reporting findings to management. #

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