Lourdes Health System

Physician Assistant

• Prepare patients for examinations by obtaining and documenting vital signs and chief complaints
• Prepare examination rooms based on patient chief complaints
• Perform phlebotomy and obtain specimens for processing
• Administer vaccines and complete required documentation
• Perform diagnostic tests such as EKG and Pulmonary Function tests under physician supervision
• Screen and direct patient calls according to established protocols
• Contact patients regarding prescriptions and testing results as directed
• Perform and document daily regulatory testing to ensure clinical equipment accuracy and compliance
• Maintain clinical supply par levels
• Perform front desk duties including patient registration, billing, and appointment scheduling

Medical Assistant – Electrophysiology

Insurance

• Provide insurance, claims and data management support for the Virtua System
• Serve as a liaison between internal departments, insurance brokers, and carriers
• Obtain and provide insurance certificates to system clients and outside entities
• Review contracts and insurance coverage requirements
• Maintain bond, automobile and property insurance databases
• Coordinate additions, modifications, and removals of vehicles and properties on insurance policies
• Gather, verify, and maintain property exposure information for underwriting and renewal
• Obtain and maintain required documentation for fleet and MICU vehicles
• Maintain the physician and allied healthcare provider insurance database
• Coordinate professional liability coverage and certificates of insurance for clinical providers
• Process claims history requests
• Maintain insurance department budget spreadsheets and track expenditures
• Organize insurance policies electronically
• Process insurance department invoices
• Manage automobile claims and patient lost/damaged item claims
• Collect and submit claim documentation
• Distribute and track claim-related reimbursements and settlement checks
• Perform mail sorting, scheduling, and other assigned administrative duties

Claims and Insurance Coordinator

Analyst

• Perform quantitative and financial analysis and audits to identify opportunities for improvement across the Revenue Cycle
• Ensure the charge master and fee schedules comply with government policies, procedures, and third-party payor needs
• Review and analyze CPT changes related to quarterly and annual AMA CPT updates and regulatory changes
• Coordinate charge master and fee schedule consistency, including descriptions, coding, additions, deletions, and pricing
• Analyze net revenue effects of proposed charge master and fee schedule changes
• Perform internal billing audits for coding, billing regulatory compliance, and charge capture accuracy
• Develop working relationships with Revenue Integrity, Finance, Information Technology, Revenue, and Clinical Operations teams
• Monitor and review revenue cycle work queues in Epic
• Analyze work queue issues, trends, root causes, and develop action plans
• Assist with strategic pricing and resolution of patient revenue cycle issues
• Provide guidance on work queue rules based on coding changes
• Assist with Epic performance reporting, including Revenue & Usage, Enterprise Charge Reconciliation, and Volume Reports
• Serve as a resource to Patient Financial Services staff regarding reporting problems and claim denials
• Research coding issues and recommend solutions to account representatives
• Analyze billing errors and denial data to identify root causes
• Implement corrective actions to ensure compliant charges and prevent future rejections and denials
• Lead and participate in Revenue Cycle initiatives and other projects
• Provide input to the Director and Manager for annual Revenue Integrity planning

Revenue Integrity Analyst, Epic Revenue Cycle Analyst

Nurse

• Assure clinical outcomes for select patient populations through staff professional development, interdisciplinary collaboration, and clinical leadership
• Apply High Reliability Organization principles with the goal of zero harm
• Interpret clinical, technical, and patient data to improve clinical quality and patient outcomes
• Collaborate with interdisciplinary teams to plan, implement, and evaluate evidence-based patient care approaches
• Support patient throughput by facilitating individualized plans of care
• Resolve clinical quality issues through evidence-based practice, inquiry, and innovation
• Communicate practice changes and relevant council and committee information
• Lead councils and committees as a subject matter expert and consultant
• Promote shared governance across the organization
• Coordinate orientation, education, and competency development for new staff
• Serve as the knowledge expert for staff education needs
• Foster a learning environment using Relationship Based Care principles
• Mentor staff and cultivate professional development
• Promote advancement of the nursing profession through research, knowledge, practice, and lifelong learning
• Identify knowledge and practice gaps and initiate action plans for clinical excellence
• Manage annual and ongoing competency
• Evaluate return on investment for educational offerings
• Facilitate relationships with academic partners to promote future workforce development

Medical Assistant – Electrophysiology

Claims and Insurance Coordinator

Revenue Integrity Analyst, Epic Revenue Cycle Analyst

Advanced Nurse Clinician, Virtual Care