Franciscan Health

Collections

• Ensure accurate, compliant, and timely follow-up on claims submitted to third-party carriers/intermediaries
• Answer inquiries in a timely manner according to hospital policies
• Ensure follow-up of claims and adhere to contractually binding conditions
• Review denials and payment discrepancies identified on EOB, RA, or payer correspondence
• Identify denial trends, provide documentation and data, and suggest process improvements
• Review system work-list and report daily to resolve accounts unpaid within 30 days of claim submission
• Document activity accurately and timely on patient accounts
• Maintain follow-up procedures and working relationships with HIM and/or Patient Access
• Verify newly received status information and update patient accounts
• Report suspicious activities to the appropriate person
• Work with the department on process improvements to create efficiencies and achieve overall goals

Collections Specialist

Patient Coordinator

• Determine when new employees have met all departmental requirements and reached proficiency for independent work
• Conduct random daily audits of registrars’ work
• Meet with supervisors to review errors and suggest corrective actions
• Provide support in inpatient, outpatient, and Emergency Room patient registration areas
• Provide input to supervisors for new hire evaluations regarding proficiency and growth
• Prepare statistical data to demonstrate departmental quality improvement
• Assist with registration duties when patient census is high
• Prepare and update the employee manual and ensure regulatory accuracy and compliance
• Audit and review new employees’ work for accuracy, compliance, and progress
• Assist with training employees on new computer programs, procedures, and equipment

Patient Access Coordinator

General

• Operate specialized computerized x-ray equipment to produce cross-sectional images of human anatomy
• Assist radiologists, physicians, and healthcare professionals in diagnosing diseases and disorders
• Assist in training students and technologists
• Perform injection procedures and venous punctures while administering contrast media
• Maintain timeliness, accuracy, proficiency, efficiency, and safety
• Clean, maintain, and restock examination and inventory rooms
• Collaborate with physicians to determine protocols and procedures
• Complete CT exams and procedures and obtain optimal images
• Process and evaluate images according to policy and protocol
• Confirm patient identity and obtain and record patient information, medical history, or test results
• Review and update patient documentation in EMR and PACS
• Practice safety guidelines and use ALARA radiation reduction tools and techniques
• Ensure patients understand procedures and remain comfortable during procedures

CT Technologist

Therapist

• Manage department operations, resources, and staff to ensure quality patient care in accordance with hospital, department, and regulatory policies and procedures
• Provide patient evaluation and treatment within hospital and department guidelines
• Use all treatment units proficiently and provide therapy to patients
• Instruct staff on safe equipment operation according to department and manufacturer guidelines
• Intervene during unscheduled downtime to cancel, reschedule, or reassign patients and staff
• Document patient records clearly, concisely, and objectively
• Revise patient education materials as appropriate
• Direct, control, and maintain assigned areas of operation
• Oversee staffing, budgets, program development, regulatory compliance, patient outcomes, and patient satisfaction
• Mentor therapy professionals in their growth and development
• Partner with interdisciplinary teams to enhance patient outcomes and satisfaction

Manager, Therapy Services

Financial Planning and Analysis

• Ensure the reliable performance of ERP systems
• Troubleshoot and resolve ERP-related software, user access, and other problems
• Gather user requirements, design, configure, test, and implement new ERP functionality
• Coordinate Workday software releases, fixes, and upgrades with Workday, technical teams, and users
• Recommend new features or configuration/workflow changes based on user feedback
• Act as the liaison between IT and Finance/Accounting
• Lead and contribute to Workday projects, enhancements, and optimization opportunities
• Perform functional analysis, design, configuration, scripting, and testing
• Maintain configuration workbooks and support software testing, test plans, test cases, and break fixes
• Lead significant phases of major initiatives, including new module implementations and enhancements
• Conduct knowledge-sharing sessions with users
• Lead and participate in the Workday adoption planning process, including annual releases
• Perform Workday administrative functions, including business process requests, tenant configurations, and data loads
• Drive feature-release deployment and system maintenance
• Participate in the Master Data Management, Finance Change, and Cross Functional Change Committees

Senior Workday Financial Application Analyst

Administration

• Administer the daily administration of 401(k), 403(b), 457(b), 457(f), and defined benefit plans
• Request benefit calculations from the plan actuary and prepare appropriate paperwork
• Inform prospective retirees about their options using relevant plan documents before finalizing applications
• Follow up as necessary before new payment setup in the Trustee system
• Research plan overpayments and request stop payments, reissues, and ACH reversals
• Follow up with participants or participants' survivors to recover funds due to the plan
• Maintain participant address and banking information
• Utilize, maintain, and review electronic files of scanned backup records and pension-related documents
• Educate active and inactive coworkers and beneficiaries on vesting, plan participation, payment elections, and other retirement details
• Serve as a consultant to network coworkers and coordinate responses to coworker or retiree issues
• Assure the interface of necessary information between Payroll, HRIS, actuarial firms, trustees, and benefits staff

Senior Retirement Administration Specialist

• Operate specialized computerized x-ray equipment to produce cross-sectional images of human anatomy
• Assist radiologists, physicians, and healthcare professionals in diagnosing diseases and disorders
• Assist in training students and technologists
• Perform injection procedures and venous punctures while administering contrast media
• Clean, maintain, and restock examination and inventory rooms
• Collaborate with physicians to determine protocols and procedures for patient medical issues
• Complete CT exams and procedures and obtain optimal images for physician interpretation
• Process and evaluate images according to policy and protocol
• Confirm patient identity and obtain and record identification, medical history, or test results
• Review and update patient documentation in EMR and PACS
• Practice safety guidelines and use ALARA radiation reduction tools and techniques
• Ensure patients understand procedures and are comfortable during procedures

Medical Billing and Coding

• Accurately reviews and codes patient records for hospitalist rounds and office visits with repetitive or non-invasive procedures
• Reviews and analyzes medical records to assign ICD diagnosis codes, CPT procedure codes, modifiers, hierarchical condition categories, complications, and comorbidities
• Evaluates diagnosis and procedure codes and modifiers against Outpatient Code Editor and National Correct Coding Initiative edits
• Reviews clinical documentation to validate the patient's clinical picture, treatment, and diagnoses
• Identifies missing, nonspecific, or inconsistent documentation and obtains clarification
• Identifies and enters data elements for abstracting
• Meets coding accuracy and productivity standards
• Applies coding guidelines independently using discretion and analytic ability
• Supports reimbursement, public reporting, quality of care, financial modeling, strategic planning, and marketing through accurate coding
• Remains current with coding and industry changes through educational opportunities
• Notifies coding leadership of trends and topics for physician and department education
• Assists with process improvements to optimize resources, decrease costs, and improve coding services
• Abides by AHIMA/AAPC Standards of Ethical Coding and official coding guidelines

Collections Specialist

Patient Access Coordinator

CT Technologist

Manager, Therapy Services

Senior Workday Financial Application Analyst

Senior Retirement Administration Specialist

CT Technologist

Coder V, Special Hospital Outpatient Surgery