About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Discharged Not Final Billed Specialist
Position Summary: Under the direction of the manager and the hospital subsidiary CFO, facilitates the resolution of Cerner encounter edits and issues that prevent timely billing to payers. Seeks to identify root causes of issues and then work collaboratively to implement more effective workflows and system build.
Essential Functions and Responsibilities:
1. Provides leadership to drive accurate and timely revenue capture.
2. Analyzes all DNFB A/R for any category exceeding targets and takes action to resolve and address root cause.
3. Collaborates within organization and across the corporation to assure knowledge is shared, accountability is established for resolving DNFB, and A/R targets are met.
4. Communicates DNFB trends to the site CFO for awareness and escalation where needed.
5. Supports the site CFO in any DNFB projects or targeted issues.
6. Develops working relationships with Patient Accounting, Patient Access, Coding and Revenue Integrity to assist departments for resolution of Discern Notifications.
7. Establishes a network of contacts for assistance in troubleshooting problems.
8. Utilizes reports, both published and on the portal to track trends and identify problem areas holding accounts in DNFB.
9. Educates department leaders to capture revenue most effectively in a clinically driven revenue HIS.
Performs other related job duties as requested
Required:
· Associate degree in a related field.
· Three years of prior related work experience
Preferred:
· Bachelor’s degree
· Clinical experience
· Knowledge of coding guidelines
Knowledge, Skills, and Abilities:
1. Excellent customer service skills.
2. Strong communication skills; ability to interact productively with leaders, peers, and customers.
3. Proficient in the use of computers and Microsoft Office.
4. Knowledge of information systems and experience with software testing and testing tools.
5. Superb organization skills.
6. Excellent time management.
7. Ability to analyze and revise operating practices to improve efficiency
8. Detail oriented and comfortable working in a fast-paced office environment.
9. Ability to multi-task.
10. Knowledge of medical terminology and insurance practices.
11. Knowledge of CPT and ICD-10 coding.
12. Skill in gathering, interpreting and reporting insurance information.
13. Self-directed and able to work independently
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
