Case Manager - Physician Practice coordinates the overall interdisciplinary plan of care for assigned patients in a physician practice setting. Acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided and that patient is making progress towards treatment goals. Being a Case Manager - Physician Practice typically requires a bachelor's degree. Must be a registered nurse(RN). Additionally, Case Manager - Physician Practice typically reports to a physician/department manager. Case Manager - Physician Practice's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)
This is a full-time remote position.
Physician Practice Support (PPS) is a wholly owned subsidiary of Community Health Systems (CHS).
Essential Duties and Responsibilities: Include the following. Other duties may be assigned.
Analyzes unpostables to determine where payment should be posted or if a refund is needed
Analyzes and accurately matches bank deposit to billing system deposits
Prepares and submits a detailed log with deposit reconciliations to CFOs each month for legacy payments.
Researches outstanding deposits
Posts payments to practice management system
Supervisory Responsibilities: This job has no supervisory responsibilities
Competencies: To perform the job successfully, an individual should demonstrate the following competencies:
Analytical - Collects and researches data; Uses intuition and experience to complement data
Customer Service - Responds promptly to customer needs
Interpersonal Skills - Maintains confidentiality of all patient information and company documents
Oral Communication – Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions
Written Communication – Writes clearly and informatively; Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information
Professionalism - Approaches others in a tactful manner; Treats others with respect and consideration regardless of their status or position
Quality - Demonstrates accuracy and thoroughness
Quantity - Meets productivity standards
Adaptability - Adapts to changes in the work environment
Attendance/Punctuality - Is consistently at work and on time
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 Preferred: High school diploma or general education degree (GED); 3 years of experience with insurance billing requirements and account follow up procedures including experience performing accounting tasks and using Microsoft Excel; or equivalent combination of education and experience. Must be able to read an EOB - Explanation of Benefits, Accounts Receivable experience preferred.
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 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Clear All
0 Case Manager - Physician Practice jobs found in Nashville, TN area