Claims Coordinator, Infusion Intake

1 month ago

Cincinnati, United States Bon Secours Mercy Health Full time

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.

Primary Function/General Purpose of Position:

The Claims Coordinator, Infusion Intake, is responsible for coordinating activities that are related to the review and handling of infusion claims for the organization. This position supports the pharmacy shared services infusion intake team. This position requires strong time management and organizational skills, along with technical proficiency and flexibility. Daily functions include management and organization of a wide array of medical documents, financial information and other sensitive or confidential information; perform clerical/administrative duties as needed; ensure timely and accurate data entry and information management; assist with claim-related tasks within specified coverage lines. Cross-coverage for the Ministry may be required. Strong attention to detail and compliance with all applicable state and federal regulations is essential for success.

Essential Job Functions :

  • Supports the accurate and complete maintenance of claims files and records in accordance with operating procedures and audit requirements.

  • Prepares letters, reports and memoranda; edits and corrects data on routine documents.

  • Accurately posts and retrieves data from various sources; prepares and maintains reports.

  • Answers and files correspondence and performs similar duties requiring the exercise of independent judgment and knowledge of claims.

  • Supports the pharmacy shared services team in the completion of projects and performs other duties as assigned.

  • Ensures legal compliance by following all relevant company policies, procedures, and guidelines as well as state and federal insurance and other regulatory requirements.

  • Maintains quality customer service by following all standard operating procedures and timely responding to or anticipating customer needs.

  • Develops and maintains strong relationships with all operational areas.

  • Protects operations by keeping all claim, patient and proprietary information confidential.

  • Adheres to all BSMH organizational and department specific policies and standards including but not limited to safety, confidentiality, mission and values.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Education:

Associate's degree preferred.

Licensing/Certification:

Certified Professional Coder (CPC) Required

Certified Outpatient Coder (COC) Preferred

Certified Hematology and Oncology Coder (CHONC) Preferred

Work Experience :

Three (3) years of related experience in medical coding or hospital billing preferred.

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans

Prescription drug coverage

Flexible spending accounts

Life insurance w/AD&D

Employer contributions to retirement savings plan when eligible

Paid time off

Educational Assistance

And much more

*Benefits offerings vary according to employment status

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com

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