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ESI
c/o Human Resources
4144 N. Central Expressway, Suite 210
Dallas, Texas   75204

Now accepting applicants for the following positions:

 

Patient Financial Services Manager

The PFS Manager is responsible for organizing, directing, coordinating and evaluating the services provided by the Patient Financial Services department, so that it operates by the policies and procedures as established by ESI.  The PFS Manager is expected to provide leadership in the following areas:  pre-billing, billing, account follow-up and collection, customer service, cash and adjustment posting, credit balances.  This list is not intended to be all-inclusive.  This individual provides management and leadership to Patient Financial Services Supervisors/Coordinators and ensures effective billing and timely collection of all patient accounts.   Ensures effective billing and timely collection of all patient accounts.   The PFS Manager is also responsible for ensuring that correct expected reimbursement is received by all payers.   Ensures all PFS associates are HIPAA compliant at all times.


Experience & Educational Requirements:
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  • Minimum of three years supervisory experience in an acute care hospital setting
  • Strong PC skills (Word, Excel)
  • Strong analytical, interpersonal and organizational skills
  • Experience with MS4, QMS, and other PFS systems a plus
  • Management, supervisory and people skills
  • Accounting and Business Office procedures including cash receipts, bank deposit, billing/collection procedures
  • Data processing principle and procedure and working knowledge of financial systems
  • Rules and regulation governing Medicare and Medicaid regulations
  • Medical Terminology

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Healthcare Business Analyst

Manages and supports the ESI Business Process Outsourcing Operations Center by providing relevant data analysis, periodic variance analysis and special cost studies as required by management and the clients.  Provides analytical and other support to various queries and reports.  Demonstrates critical thinking and analytical skills.  Is flexible and adaptable to the changing requirements of the organization as it affects the job.
 
Analyzes and reports, volumes and trends for the client’s AR, departmental performance, service lines, payers performance and errors.  Prepares standard and custom reports and provides training for designated office personnel regarding the use of such reports and data.  Assists in maintaining the integrity and security of the system.  Responsible for downloading and the accumulation of relevant data from the patient accounting system, G/L, hospital statistics, physician table, payer information and other relevant data bases.  Works with BPO management to develop standards used in billing, collections and performance analysis.
 
Manages the maintenance and production of standard reports utilized by the BPO Operations on monthly, quarterly and annual basis.  Updates patient databases as necessary to produce required monitoring and production tools for the BPO management team.  Supports accounting, budgeting and reimbursement functions as necessary when directed by the Director of BPO Operations.  Provides data analysis on new and existing managed care contracts, payer listings or special projects as selected by the BPO Managers.  Attends professional meetings and conferences to keep informed of current practices and trends.  Performs special projects and other duties as assign.  Acts as the system administrator for all of the major platforms/systems used within the BPO operations.


Experience & Educational Requirements:
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  • Experience with SQL, Data Mining, Cache Databases and related software products.
  • Tenacity, Analytical Thinking and Problem Solving are the traits needed for success in this position.
  • Extensive knowledge of personal computer based spreadsheet software.
  • Strong financial background, problem solving and communication skills are essential.
  • Bachelor’s Degree in Business Administration, IT or Accounting

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Medical Coder

Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing for hospital medical claims. Abstracts pertinent information from patient records. Assigns ICD-9-CM or HCPCS codes, creating APC or DRG group assignments.

Responsible for identification of patients, identification of abstraction, validation and entry of all required data into the billing system. Must be able to code clinical documentation correctly and efficiently.

Candidate must be able to demonstrate a working knowledge of personal computers and other standard office equipment. Must be detail oriented, possess basic mathematical skills, and have sharp analytical skills to resolve financial issues as they relate to multiple groups include third party payor, physicians, patient and the computer system. Must demonstrate a positive demeanor, good verbal and written communications skills and be professional in both appearance and approach. Candidate must be able to handle potentially stressful situations and multiple tasks simultaneously. Must be able to communicate effectively with patients, families, government entities, insurance companies, and physician/ hospital staff. Must be able to solve problems within the guidelines of established policies and procedures.

Must be able to effectively research and apply official coding guidelines, and provide facts based coding solutions to maximize reimbursement. Maintain current coding compliance requirements to have ability to code correctly. Working knowledge of medical software: basic knowledge of physician and hospital billing and various payor billing requirement. In depth understanding of CPT and ICD-9 coding, including DGR and APC knowledge. Must possess a current coding certification (AHIMA, RHIA, RHIT, CCS) and have two years or more experience in hospital medical coding department.

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Quality Control Analyst

The Quality Control Analyst is responsible for developing, coordinating and implementing initial and ongoing training programs for all staff performing Admitting/Registration Services, monitoring performance, auditing and coordinating activities of all registration functions at any physical location within the hospital domain. Additionally, this person is responsible for ensuring quality standards are set and maintained throughout all departments within the BPO. This includes auditing all account types to ensure departmental policies and procedures are followed and communicating relevant feedback to the appropriate department supervisors/managers. Finally, the Quality Control Analyst is responsible for rolling out training for new system functionality or regulatory changes, which apply to both front-end registration and back end business office staff. This person must be able to work cooperatively in a team environment.

Must have knowledge of Federal, State, and Commercial insurance policies and requirements as it relates to all aspects of certification, billing, collections and payment protocols.

Knowledge of acceptable billing and coding practices for all payer types, Demonstrates proficient PC skills: MS Excel, MS Word, and MS Outlook. Knowledge of accessing the internet for eligibility, claims submission, imaged document retrieval and claim status. High school diploma required, Associates Degree Preferred.

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