Job Information
Scotland Health Care System Accounts Receivable/QAPI Specialist in Laurinburg, North Carolina
JOB SUMMARY:
Responsible for duties and functions as it relates to Accounts Receivable. Works under the direct supervision of the Director of Finance; assists with implementation and coordination of the organizational-wide quality assessment and performance improvement program. Reports to the Director of QAPI.
JOB DUTIES AND STANDARDS:
Accounts Receivable:
Follows-up on all outstanding A/R and prepares quarterly reports on outstanding patient balances
Works all unpaid accounts and reports changes in payor source to Billing Coordinator for refiling
Prepares credit balance reports for Medicare and Medicaid
Posts A/R payments into the EMR system and relaying adjustments, write-offs and billing changes to the DOF
Responsible for the completion of agency re-credentialing with private insurance carriers
Assists with the preparation of reports, as requested, such as the annual Data Supplement for NC and SC licensure and the Medicare Cost Report
Quality Assurance and Performance Improvement:
Assists in maintaining the monthly verifications of professional provider licensures/certifications ensuring the verification of current status. Files hard copy of evidence in personnel record.
Assists HR in notifying department directors of missing records
Facilitates regular meetings of the Professional Advisory Committee
Facilitates QAPI projects in all operations of the organization
Establish a system for annual review, revision, and approval of all agency policies and procedures
Assists department directors in developing discipline-specific competency evaluation program to be completed during orientation and annually thereafter or when new equipment or procedures are introduced
Ensures each director performs an annual review and update of their teams job description
Assists Director of QAPI in ensuring that required documentation appears in hard copy files as mandated by Medicare COP's and by ACHC Performs the hard copy portion of the audit for 15 charts monthly Timely submission of the Hospice Item Set Admission Form for each patient within 14 days of admission Timely submission of the Hospice Item Set Discharge Form for each patient within 7 days of discharge, revocation, or death Completes two step verification process assuring HIS submissions were accepted for admissions and discharges Timely submission of CAHPS data to third party vendor to be submitted to CMS Completes verification that data was received by third party vendor Enters incident report information to the eQMS system within 7 days of each occurrence.
Other Duties:
To become proficient in EMR system and all other electronic systems used by the organization
Other duties/assignments may be requested by a Director or the Executive Director.
QUALIFICATIONS:
High school graduate; 2-5 years of office experience; supervisory skills; EMR experience preferred; advanced proficiency in computer skills; excellent leadership and management skills