Physician Practice Support (PPS) is a wholly owned subsidiary of Community Health Systems (CHS).

Summary: Maintains dashboards within the practice management system by ensuring the accuracy and timely entry of information into the appropriate table spaces.

Essential Duties and Responsibilities: Include the following. Other duties may be assigned.

• Trains newly hired employees on the proper processes and procedures related to the Accounts Receivable function, and helps them acclimate to PPS
• Reviews workflow dashboards and makes correction to claims to facilitate billing
• Researches, identifies, and rectifies any special circumstances affecting delayed submission of insurance accounts or payment of accounts
• Prepares monthly reports on issues affecting the accounts receivable.
• Reviews insurance information loaded by registration staff for accuracy and completeness and identifies and/or rectifies problems
• Accurately and completely documents communications, and other transactions between the facility and PPS
• Supports staff by data entry of registration information and charge entry, and verification of insurance eligibility and benefits as needed
• Remains informed of statutory and regulatory changes affecting collections of receivables
• Prepares files to be turned over to collections
• Provides information related to policy and procedure or instruction on the practice management system
• Communications promote positive relations between PPS and clinic personnel, clinic leadership and external vendors
• Escalates issues and situations within the clinics as necessary

Supervisory Responsibilities: This job has no supervisory responsibilities

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience: High school diploma or general education degree (GED) and 5 years experience with insurance billing requirements and account follow-up procedures including experience researching and resolving claims denied by insurance carriers, and a general understanding of ICD9 and CPT coding; Bachelor’s degree in Healthcare or Business, and 2 years experience with insurance billing requirements and account follow-up procedures preferred; or equivalent combination of education and experience.

Language Skills: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations.

Reasoning Ability: Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.

Computer Skills: To perform this job successfully, an individual must have knowledge of general computer applications, including Excel and keyboarding experience, and practice management systems.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus.