• Job Description

  Req#: 4137

  Salary Range: $22.52 - $31.05

  Pay rates are determined based on experience and internal equity.

  Position Summary:

  • Manage multiple projects including the denial process currently used at LVMC. Continually work to identify opportunities for workflow improvements.
  • Collaborate with Director and Manager of Revenue Cycle to set goals, measure effectiveness and productivity, and identify the need for updated policies and/or procedures.
  • Provide support to Revenue Cycle to ensure productivity and quality goals are met.
  • Gather and assemble documentation related to monthly balancing, reports and research.
  • Must work well under stress or tight deadlines.
  • Must work well with supervisors, co-workers, patients/residents, family members and visitors.

  District Responsibility:

  • Support of the District Mission and Values
  • Demonstrate respect, professionalism and courtesy to all patients, visitors, other providers and coworkers, as delineated in the LVMC “Commitment to Care”.
  • Constantly use C-I-CARE principles when communicating with others.
  • Performance Improvement Activities
  • Professional Development

  Position Duties/Responsibility:

  • Knowledge of the appeals and denials processes for Medicare, Medi-Cal, and other private health insurance.
  • Understanding of Insurance Billing and payments processing: EOBs, HCPCS, ICD10, CPT, and Medi-Cal crosswalk coding.
  • Special projects with insurance denials, data entry and analysis.
  • Education and implementation of new software system
  • Must be extremely organized and possess excellent communication, interpersonal and problem-solving skills.
  • Other Duties Assigned by Supervisor

  Essential Functions:

  • Work independently and also with a team.
  • The ability to be supervised.
  • The ability to work as a team member.
  • Multi tasks and balance multiple projects.

  Position Qualifications:

  • Education: High School diploma or equivalent.
  • Experience: Prefer 2+ years of experience working with commercial, Medicare, Medi-Cal and HMO insurance procedures. Working knowledge of full cycle billing and collection.
  • Previous office/hospital experience preferred.
  • Certifications: None necessary.
  • Skills/Ability: Excellent verbal skills required. Exhibits the ability to organize multiple assignments and follow through with accuracy. Exercise is good judgment under stress. Demonstrates initiative, emotional stability, tact and poise.
  • LVMC reserves the right to modify the minimum requirements depending on the needs of the organization.

• About the company

  The Lompoc Valley Medical Center, owned and operated by Lompoc Valley Medical Center, is a 60-bed general acute care rural, district hospital located in Lompoc, California.

Notice