University General Hospital Work Values

Daily Duties at University General Hospital:

• Oversight of workflow, processes and procedures for HIM/Business Patient Financial Services • Assuring Effective Coordination of work processed with implementation of policies and procedures across hospital wide infrastructure • Identifies improvement opportunities • Develops recommendations and directs the implementation of approved recommendations under the direction of CFO • Collaborates with Department Directors to produce accurate billing to be reimbursed in a timely manner • Plans, organizes, and leads multi-disciplinary teams and projects to develop meaningful results within established timeframes • Responsible for verifying patient eligibility • Inquired claim/payment status • Claims processing (billing via UB92 AND HCFA 1500 claim forms). • Setting up patient payment plans and credit card authorizations. • Billing Medicare/Medicaid, Workers’ compensation claims, and private commercial insurance. • Managed Care/Non Managed Care – reviewing and appealing claims per provider negotiated contracted allowable. • Denials Management: Maintain a tracking system for insurance denials. • Reviewing EOB’s and preparing daily cash flow analysis reporting to CEO,CFO and Board of Executives • Supervise and Direct Staff • Auditing of patient charting • Approve/Deny requests of accounting Settlements/Negotiations • Processing Refunds • Processing Revenue Generating Invoicing- Reconciliation Approval/Denial • Processing adjustments and reconciling credit balances (Daily Reconciliation) • Process Department Payroll (Stromberg System) • Preparing Quarterly reports – Medicare Cost Report, Credit Balance Report • Development of short and long range financial plans including recommendations to support new and planned programs. • Effectively utilizes financial data, market trend analysis, and industry operating procedures to ensure the maintenance of sound financial operation and improved fiscal performance of maintaining monthly revenue cycle moth end goal of $9 million is gross receivables every month. • Responsible for forecasts and projections for current and future. Reports any financial or fiscal operational risk and financial warning signs to appropriate organizational/clinical department leadership in a timely fashion. • Performs cost/benefit analysis for all practice services. •Oversees the development, preparation and utilization of reports to track financial and operational performance across the entire spectrum of the revenue cycle

What they like about University General Hospital:

You highly value a work environment built on a formal structure, rules, and regulations. You do not enjoy the unpredictability of shifting priorities and deadlines that upset your routine. You require and enjoy direction, input and accountability as part of your work environment. You have a strong need to participate in making key decisions and feel left out if your superiors or co-workers do not seek your input when making decisions. You thrive on providing good customer service to both internal or external customers, and doing so makes you feel good.

Tags

HEALTHCARE, MEDICAL, BILLING, COLLECTIONS, FINANCE, ACCOUNTING

Skills

These are some of the questions we asked our climbers about their experiences with University General Hospital: