MERCY PUBLIC HOSPITALS INC

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POSITION DESCRIPTION

Core Mercy Values: / Compassion, Hospitality, Respect, Innovation, Stewardship, Teamwork
Position title: / Billing Officer / Employee name:
Entity/Group:
Business Unit/Department: / Mercy Health
Werribee Mercy Hospital
Admissions & Patient Reception / Date:
Position reports to: / Patient Services Manager
Position Purpose: / Responsible for various billing avenues across multiple systems at Werribee Mercy Hospital with professionalism and accuracy, monthly reporting of debtors for Health Services Division debtors.
Qualifications: / ·  Understanding and knowledge of billing in the health industry
·  Experience with billing components of iPM and ZedMed desirable
·  Excellent communication and interpersonal skills
Resource management: / Annual Operating Expenditure:
Annual Capital Expenditure: / Not Applicable
Mandatory Organisational Competencies / Personal Competencies /

Job Competencies

·  Orientation (on commencement) / ·  Commitment to the Mercy values.
/ ·  Comply with the requirements of the annual organisational mandatory and role related competencies policy and procedure.
·  Diversity & Equity (annual) / ·  Demonstrated ability to build relationships with people at all levels.
/ ·  Excellent knowledge of debtor processes
·  Emergency Procedures (annual) / ·  Ability to work as part of a team.
/ ·  Excellent written and verbal communication skills.
·  Work Health & Safety (annual) / ·  Honesty and integrity. / ·  Excellent organizational skills.
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·  Infection Control (annual) / ·  Strong interpersonal and communication skills. / ·  Ability to meet deadlines.
·  High level of accuracy. / ·  Ability to educate others on debtor issues and processes
·  Ability to promote and support change. / ·  Demonstrate commitment to a culture of excellence and total quality service
·  Enthusiastic and motivated. / ·  Ability to use Microsoft Office (in particular word and excel) at an intermediate level.
·  Demonstrated commitment to a culture of excellence and total quality service. / ·  Ability to educate others on debtor issues and processes
·  Capacity for constructive self reflection and improvement
·  Excellent Customer Service Skills
Generic Requirements
·  Act professionally and in accordance with the Mercy Health Code of Conduct
·  Maintain clinical registration (where applicable)
·  Participate in annual performance development review (PDR) process
Key Result Areas / Key Activities / Standard Measures /
·  Demonstrates and upholds the Values and Mission of Mercy Health. / ·  Ensure the values of Mercy Health are incorporated into daily work practices. / ·  Shows compassion and provides support to colleagues and patients.
·  Consistently shows respect and values each person’s dignity.
·  Seeks opportunities to be innovative for improvement.
·  Communicates openly and honestly as an effective team member.
·  Demonstrates an understanding of individual responsibility for safety, quality & risk and participates in organisational quality and safety initiatives / ·  Maintain a safe environment for patients/self/colleagues and members of the public.
·  Escalate concerns regarding safety, quality & risk to an appropriate staff member.
·  Participate in evaluation and continuous improvement and clinical indicator processes.
·  Demonstrate the principles of Person Centred Care:
o  Respect & Dignity
o  Information Sharing
o  Participation
o  Collaboration / ·  Risk controls implemented.
·  Incident/s reported as soon as practicable.
·  Undertake incident investigations.
·  Orientation completed.
·  Training up to date.
·  Accreditation outcomes.
·  Patient satisfaction and experience survey results.
·  Participate in implementation and delivery of annual quality plan and business plan.
·  Responsible for the Billing function of MPHI - Werribee Mercy Hospital’s billing areas including Inpatient, Outpatient, Allied Health, Emergency Dept, Sundry Debtors and Private Patient accounts. / ·  Uphold standard billings practices across MPHI - Werribee Mercy Hospital.
·  Process Invoice requests in necessary timeframes.
·  Liaise with internal Department regarding timely coding of inpatient admissions.
·  Follow up incomplete billing data.
·  Problem Solving.
·  Liaise with requester on invoice data supplied including the account coding.
·  Provide substantiation of invoice processed.
·  Recommend improvements in processes.
·  Attend to enquiries from various stakeholders. / ·  Accuracy and timeliness of creation of billing from various departments.
·  Managing level of unprocessed billing each month.
·  Understanding Casemix coding of inpatients admissions.
·  Billing Activity KPI’s.
·  Sundry Debtors. / ·  Create customer files in Sundry debtor system.
·  Create and maintain billing codes.
·  Process Invoice requests in necessary timeframes.
·  Liaise with requester on invoice data supplied.
·  Provide substantiation of invoice processed.
·  Recommend improvements in processes.
·  Attend to enquiries from various stakeholders. / ·  Accurate and timeliness of creation of invoice requests.
·  Level of unprocessed billing.
·  Month end reporting on processed billing, adjustments and refunds.
·  Billing Activity KPI’s.
·  Inpatient and Outpatient Clinic Billing. / ·  Support registering Doctor Provider numbers with Medicare and health funds, linking into our billing system.
·  Process billing sheets/details.
·  Liaise with Doctors, Medicare, Health Fund and third parties on invoiced or un-invoiced data supplied.
·  Review and rectify rejected invoices and resubmit.
·  Provide substantiation of invoices processed.
·  Recommend process improvements.
·  Attend to enquiries from various stakeholders. / ·  Accuracy and timeliness of billing for Inpatient and outpatient Clinics.
·  Workcover / TAC. / ·  Accurate documentation and recording of Workcover and TAC details.
·  Maintain current and accurate processes with Compensable records.
·  Crosschecking with details in Emergency EDIS system.
·  Generating invoices and amend as required. / ·  Accuracy and timeliness of billing for TAC and Workcover patients.
·  Ineligible for Medicare Patient Billing. / ·  Generating invoices Emergency presentations and inpatient accounts.
·  Cross checking with Emergency EDIS System & inpatient management system.
·  Generating invoices for discharged inpatients.
·  Supporting payment plans and following up outstanding payments. / ·  Accuracy and timeliness of billing for Overseas Non Eligible Patient.
·  Reporting. / ·  Review monthly billing activity reports.
·  Prepare Monthly and Quarterly statements of Disbursements for Consultants in Consulting Suites.
·  Ensure central filing of reports is up to date.
·  Ensure timely, accurate, reliable and relevant information and reports are made available as required. / ·  Timely Preparation of information for Finance Support Services for Month End Reporting.
·  Quality Improvement. / ·  Participate in quality improvement activities and regularly review own work practices to ensure continuous improvement in meeting customer expectations and requirements. / ·  Assist in the review of end to end Accounts Receivable and Debtor processes and recommend changes.
·  Maintains and builds effective relations with all relevant stakeholders by ensuring appropriate lines of communications are maintained. / ·  Level of customer and stakeholder complaints.
·  Other projects and Administrative tasks as required
Employee’s Signature: / Date:
Print Name:
Manager Signature: / Date:
Print Name:

Mercy Public Hospitals Inc: Employee (no direct reports) Template Billing Officer