Jobs · OTHR · South Carolina

Billing Research Processor I

MUSC Health · Charleston, SC · 1 mo ago
On-siteOTHRFull-time
We need to output HTML fragment with sections for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections where there is real specific content. Must not repeat job title. Must not include Job ID etc. Must remove boilerplate like EEO, E-Verify, etc. Must preserve all substantive info. We need to parse the job description. Key info: - Entity: MUSC Community Physicians (MCP) (also MUSC Physicians (MUSCP)). - Worker Type: Employee, Regular. - Cost Center: CC004513 MCP - Revenue Cycle. - Pay Rate Type: Hourly. - Pay Grade: Health-21. - Scheduled Weekly Hours: 40. - Work Shift: Monday - Friday 8:00am - 5:00pm. - Remote Option: This position offers a remote work schedule. - Required Minimum Training and Education: High school diploma and one-year revenue cycle work experience required. - Prior account analysis, credit resolution, billing and/or insurance follow up experience in a hospital or physician office setting preferred with working knowledge of insurance payor remittances, and Epic system knowledge helpful. - Must have excellent organizational, analytical, and communication skills. - Desired candidates are dependable; team focused, goal-oriented individuals with a strong work ethic and positive attitude. - Degree of Supervision: Must be able to work independently under the direction of the Department Supervisor and Manager. - Required Licensure, Certifications, Registrations: N/A (skip). - Job Duties And Responsibilities: list of duties. - Physical Requirements: list. - Additional Job Description: repeats some requirements. - "If you like working with energetic enthusiastic individuals, you will enjoy your career with us!" (maybe fluff, but could be considered part of About the role? Might be considered boilerplate? It's not EEO but it's a tagline. Probably we can include in About the role as a sentence? It's not required but it's substantive? It's more promotional. Might keep as part of About the role. - EEO and E-Verify etc must be removed. - Pay: we have Pay Rate Type Hourly, Pay Grade Health-21. Not a specific dollar amount. The rule: do NOT create Pay/Schedule/Benefits sections unless the posting actually states them. It states Pay Rate Type Hourly and Pay Grade Health-21. That's pay info. So we can include a Pay section with that info. Not a specific number but it's still pay info. The rule says: never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Here we have Pay Rate Type Hourly and Pay Grade Health-21. That's actual info, not placeholder. So we can include Pay section. - Schedule: we have Scheduled Weekly Hours 40, Monday - Friday 8:00am - 5:00pm. Also Remote Option. So we can include Schedule section. - Benefits: not mentioned. So no Benefits section. - About the role: we can summarize the role description: The Credit Processor diligently follows workflows to research, analyze, resolve undistributed and credit transactions within EPIC system. etc. That's substantive. - Responsibilities: list of duties. - Requirements: maybe combine education/experience etc. - Qualifications: maybe skills etc. But we need to avoid duplication. The instruction: Prefer a few substantive sections over many thin ones. So we can combine similar content. We need to decide which sections to include: About the role, Responsibilities, Requirements, Qualifications, Skills, Pay, Schedule. Possibly also "Physical Requirements" but that could be part of Requirements or a separate section? The instruction only lists those headings; we should use those headings for section headings. So we can include Physical Requirements under Requirements or maybe as a separate section? Not in list. So we should incorporate physical requirements into Requirements or maybe under a generic "Requirements" section. Similarly, "Desired candidates are dependable..." could be Skills or Qualifications. We need to avoid repeating same info. Let's extract: About the role: The Credit Processor diligently follows the workflows established to properly research, analyze and resolve undistributed and credit transactions within the EPIC system. Process all levels of transactions needed for resolution (transfers, posting, offsets, refunds, etc.). Will use available resources: Workflows, Email, Excel, Word, Fee Schedules etc. to verify insurance, patient, and guarantor information. Review websites, contact insurance carriers and/or guarantors and update demographics, coverage and/or claim information accordingly. Note accounts with actions taken. The ability to be accountable, adaptable and flexible to changes to processes, assigned tasks and meet set deadlines. Also mention remote option? Could be in Schedule. Responsibilities: list from "Job Duties And Responsibilities": Undistributed/Overposted (credit) transactions. Process undistributed and credit transactions through assigned work queues or reports according to department’s workflows. Process all levels of transactions needed for resolution (transfers, posting, offsets, refunds, etc). Use available resources: Workflows, Email, Excel, Word, Fee Schedules etc. Verify insurance, patient, and guarantor information. Review websites, contact insurance carriers and/or guarantors and update demographics, coverage and/or claim information accordingly. Note accounts with actions taken. Completed Contribution Average. Maintain department’s current Completed Account Contribution totals daily, weekly, monthly. (Productivity) Audits. Maintain >=97% accuracy rate on audit reviews. HPF Insurance Refund Request Letters WQs. Review and process weekly to ensure resolution is met prior to deadlines stated in the request letters and/or set workflows and regulations. Returned Refunds-Credit Processors will review; verify information pertaining to the reason of the return and/or consult with other departments when their refunds are returned for resolution. Process the cancelations to repost, reissue, and apply to escheatment or MISC Income for resolution. Requirements: Education/experience: High school diploma and one-year revenue cycle work experience required. Prior account analysis, credit resolution, billing and/or insurance follow up experience in a hospital or physician office setting preferred with working knowledge of insurance payor remittances, and Epic system knowledge helpful. Must have excellent organizational, analytical, and communication skills. Desired candidates are dependable; team focused, goal-oriented individuals with a strong work ethic and positive attitude. Degree of Supervision: Must be able to work independently under the direction of the Department Supervisor and Manager. Physical Requirements: Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift and/or carry objects weighing 20 lbs (+/-) unassisted. Lift from 36” to overhead 15 lbs. Infrequently work in dusty areas and confined/cramped spaces. Qualifications/Skills: Could be overlapping with Requirements. Maybe we can combine Requirements and Qualifications into one section? But we need to follow headings list. We could have Requirements (education/experience) and Skills (organizational, analytical, communication, etc). Qualifications could be something like "Preferred: experience..." but we already have that. Might be better to have Requirements (education/experience) and Skills (organizational, analytical, communication, dependable, team-focused, etc). Qualifications could be omitted if thin. Pay: Pay Rate Type Hourly, Pay Grade Health-21. Schedule: Scheduled Weekly Hours 40, Monday - Friday 8:00am - 5:00pm, Remote Option available. We must not include boilerplate like EEO, E-Verify, etc. Now produce HTML fragment with sections as needed. We'll wrap each section in appropriate tags:

Heading

then content: either

for prose or

  • for lists. We need to decide which content is list vs prose. Responsibilities: list of duties ->
    • each duty. Requirements: could be list of items: education/experience, skills, physical requirements. Could be split into two lists? But we can make a single list with items. Skills: list of skills. Pay: maybe a

      with details. Schedule:

      with details. About the role:

      with description. Let's craft. About the role paragraph: combine the initial description. Responsibilities list items: - Process undistributed and credit transactions through assigned work queues or reports according to department’s workflows. - Process all levels of transactions needed for resolution (transfers, posting, offsets, refunds, etc.). - Use available resources: Workflows, Email, Excel, Word, Fee Schedules etc. to verify insurance, patient, and guarantor information. - Review websites, contact insurance carriers and/or guarantors and update demographics, coverage and/or claim information accordingly. - Note accounts with actions taken. - Maintain department’s current Completed Account Contribution totals daily, weekly, monthly (productivity). - Maintain >=97% accuracy rate on audit reviews. - Review and process weekly HPF Insurance Refund Request Letters work queues to ensure resolution is met prior to deadlines stated in the request letters and/or set workflows and regulations. - Review returned refunds; verify information pertaining to the reason of the return and/or consult with other departments when refunds are returned for resolution; process cancellations to repost, reissue, and apply to escheatment or MISC Income for resolution. Requirements list: - High school diploma and one-year revenue cycle work experience required. - Prior account analysis, credit resolution, billing and/or insurance follow up experience in a hospital or physician office setting preferred. - Working knowledge of insurance payor remittances and Epic system helpful. - Must have excellent organizational, analytical, and communication skills. - Dependable, team‑focused, goal‑oriented with a strong work ethic and positive attitude. - Able to work independently under the direction of the Department Supervisor and Manager. - Physical requirements: ability to perform job functions while standing, walking, and sitting; bend at waist, kneel, climb stairs, reach in all directions; use both hands and legs; good finger dexterity; perform repetitive motions; maintain 20/40 vision corrected; work in latex‑safe indoor environment; frequently lift/carry up to 20 lbs; lift from 36” to overhead 15 lbs; occasional work in dusty areas and confined/cramped spaces. Skills list (maybe separate from Requirements): but we already listed organizational, analytical, communication, dependable, team-focused, goal-oriented, strong work ethic, positive attitude. Could be separate. But to avoid duplication, we could put those in Skills section, and Requirements only education/experience and physical requirements. However the instruction says prefer few substantive sections over many thin ones. So maybe combine education/experience, skills, physical into one Requirements section. Then we could omit Skills and Qualifications sections. But we need to include Pay and Schedule sections. Thus sections: About the role, Responsibilities, Requirements, Pay, Schedule. Check if any content left for Qualifications or Skills: we have covered skills in Requirements. That's okay. Now ensure we don't include filler like "N/A". We omitted licensure. Now produce HTML. We must not include markdown fences. Let's write:

      About the role

      The Credit Processor diligently follows the workflows established to properly research, analyze and resolve undistributed and credit transactions within the EPIC system. Process all levels of transactions needed for resolution (transfers, posting, offsets, refunds

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