Follow Up and Billing Rep

We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must include only sections with real specific content. The posting includes: About the role? There's a "Why You’ll Love Working with St. Elizabeth Healthcare" and mission statements. Could be "About the role" or "About the organization". The instruction: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose appropriate headings based on content. We need to preserve all substantive info, remove boilerplate: navigation, cookie, legal, EEO, etc. There's none obvious. Also remove duplicated lines. We need to extract: - Job Type: Regular - Scheduled Hours: 40 (maybe schedule) - Benefits: listed: Competitive pay and comprehensive health coverage within first 30 days; Generous paid time off and flexible work schedules; Retirement savings with employer match; Tuition reimbursement and professional development opportunities; Wellness, mental health, and recognition programs; Career advancement through mentorship and internal mobility. - Job Summary: description of responsibilities. - Billing Responsibilities (list) - Follow-Up Responsibilities (list) - Education, Credentials, Licenses: High school diploma or equivalent; Specialized Knowledge: Medical billing experience in physician office; PC Skills; Customer Service Skills; Excellent Communication Skills; Knowledge of workers compensation and third-party billing rules and regulations. - Kind And Length Of Experience: One-year experience in physician billing and collections or equivalent education. - FLSA Status: Non-Exempt (maybe not needed as heading? Could be part of Requirements? Not a section heading per list; we could include under Requirements or Qualifications.) - Pay: Not explicitly stated besides "Competitive pay". That's vague; we should not create Pay section unless posting actually states them. It says "Competitive pay" but not a number. The instruction: 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. "Competitive pay" is vague but still states pay exists; but it's not a specific amount. Might be considered placeholder? The instruction says avoid filler like "commensurate with experience". "Competitive pay" is similar vague. Safer to not create Pay section. However we have Benefits section includes "Competitive pay and comprehensive health coverage". So we can mention pay within Benefits. - Schedule: Scheduled Hours 40 (full-time). That's specific: 40 hours per week. So we can create Schedule section with that. - Benefits: we have list. - Responsibilities: we have Job Summary and Billing Responsibilities and Follow-Up Responsibilities. Could combine under Responsibilities. - Requirements: Education, Credentials, Licenses, Experience, Skills. - Qualifications: maybe same as Requirements? Could combine. - Skills: PC Skills, Customer Service, Communication, Knowledge of workers comp. We need to avoid duplication. Let's structure:

About the role

maybe include mission statement? But "About the role" could be job summary. However we already have Responsibilities. Maybe "About the role" includes brief description: "This position is responsible for the accurate and timely billing and collection..." That's job summary. Better:

About the role

Job summary paragraph.

Then

Responsibilities

with

of duties (maybe combine billing and follow-up responsibilities). Could split into two subheadings? Not allowed; only h3 headings. Could have two
under same heading. Then

Requirements

with
of education, experience, skills, knowledge. Then

Benefits

with
of benefits. Then

Schedule

with

40 hours per week (full-time).

We should not include Pay heading. We must not repeat job title as heading. We must not include Job ID etc. We must remove boilerplate like "Engage with us for your next career opportunity. Right Here." That's maybe marketing fluff but not boilerplate? It's not EEO etc. Might be considered promotional but not prohibited. However we should keep substantive info; that line is not substantive about job. Could drop as it's generic marketing. The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. That line is not those; but it's fluff. Might be okay to keep? Safer to drop as not substantive. However we need to preserve ALL substantive information. That line is not substantive about job. So we can drop. Also "Right Career. Right Here." at end similar. Now craft HTML. Let's extract responsibilities list: From Job Summary: "This position is responsible for the accurate and timely billing and collection of assigned accounts using computerized patient accounting systems. This position must stay current with workers compensation billing rules, OSHA regulations, workers compensation regulations, and contractual agreements with payers. This position is also responsible and accountable for communication to the leadership team regarding identified issues with charges, orders, invoicing etc. This position is also responsible to work with, train and orient physicians/providers with accurate and appropriate coding of work compensation charges. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background." Then Communication/Trending Job Description: list: - Trends weekly productivity, Billing WIP, Follow-up WIP and agings. - Attends weekly billing staff meetings - Identifies payor & billing issues - Participates in a positive & constructive manner - Addresses and follows up on any client call or concern by next business day. Billing Responsibilities (list): - Reviews bills and related information for accuracy and reasonableness of charges - Submits bills to payers electronically if possible, otherwise paper - Submits monthly self-pay statements to clients - Stays current with third party contractual agreements and regulations to apply requirements for accurate billing and to make recommendations for system changes as needed - Maintains zero billing WIP Follow-Up Responsibilities (list many): - Calls payers for status on accounts on work list - Records appropriately detailed notes in the Systoc system - Takes appropriate action to resolve claims, i.e., the rep would proceed to complete any and all steps to have the claim paid. Including and not limited to; re-file claim, send notes, make corrections to the claim information, call employer, call patient, etc. - Writes appeal letters - Communicates with supervisor at Business Health and at payers - Calculates expected reimbursement on accounts if necessary - Holds payers responsible to contract terms and fee schedules - Completes work list with the activity code, tickle date, phone number - Demonstrates ability to work with high volume of outgoing calls associated with collection of accounts - Demonstrates adequate, appropriate, and professional levels of communication with insurance company representatives, team members, supervisors, and managers. - Establishes relationship with payer contacts - Ensures timely turnaround of internal requests (EOB’s, medical records) through effective follow-up - Performs due diligence on all collection efforts - Ensures expected reimbursement is secured - Elevates serious barriers to claim resolution to appropriate management - Assists other follow-up reps when necessary, as determined by manager, work with billing staff to identify and resolve billing issues and develop standard billing practices - Maintains zero follow-up WIP - Performs other duties as assigned. Education, Credentials, Licenses: - High school diploma or equivalent - Specialized Knowledge: Medical billing experience as acquired in a physician office setting. - PC Skills, including Word and Excel. - Customer Service Skills - Excellent Communication Skills - Knowledge of workers compensation and third-party billing rules and regulations Kind And Length Of Experience: One-year experience in physician billing and collections or equivalent education FLSA Status: Non-Exempt (maybe include under Requirements as a note) Now Benefits list: - Competitive pay and comprehensive health coverage within the first 30 days. - Generous paid time off and flexible work schedules - Retirement savings with employer match - Tuition reimbursement and professional development opportunities - Wellness, mental health, and recognition programs - Career advancement through mentorship and internal mobility Schedule: Scheduled Hours 40 (full-time). Could phrase as "40 hours per week (full-time)." Now produce HTML. We'll need to wrap each section in

and then

or

. For About the role: we can put job summary paragraph. Let's craft About the role paragraph: combine job summary and maybe mission? But mission is about organization not role. Could include mission as part of About the role? Might be okay but it's about organization. However we have no explicit "About the role" content besides job summary. We'll use that. Thus:

About the role

This position is responsible for the accurate and timely billing and collection of assigned accounts using computerized patient accounting systems. This position must stay current with workers compensation billing rules, OSHA regulations, workers compensation regulations, and contractual agreements with payers. This position is also responsible and accountable for communication to the leadership team regarding identified issues with charges, orders, invoicing etc. This position is also responsible to work with, train and orient physicians/providers with accurate and appropriate coding of work compensation charges. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.

Then Responsibilities: we can combine the Communication/Trending, Billing Responsibilities, Follow-Up Responsibilities into a single list (maybe grouped). But we need to preserve all detail; we can just list all items. Let's create
with each item as
• . We'll need to include all bullet points. List items: - Trends weekly productivity, Billing WIP, Follow-up WIP and agings. - Attends weekly billing staff meetings (actually two separate: "Trends weekly productivity, Billing WIP, Follow-up WIP and agings." and "Attends weekly billing staff meetings". We'll separate. - Identifies payor & billing issues - Participates in a positive & constructive manner - Addresses and follows up on any client call or concern by next business day. - Reviews bills and related information for accuracy and reasonableness of charges - Submits bills to payers electronically if possible, otherwise paper - Submits monthly self-pay statements to clients - Stays current with third party contractual agreements and regulations to apply requirements for accurate billing and to make recommendations for system changes as needed - Maintains zero billing WIP - Calls payers for status on accounts on work list - Records appropriately detailed notes in the Systoc system - Takes appropriate action to resolve claims, i.e., the rep would proceed to complete any and all steps to have the claim paid. Including and not limited to; re-file claim, send notes, make corrections to the claim information, call employer, call patient, etc. - Writes appeal letters - Communicates with supervisor at Business Health and at payers - Calculates expected reimbursement on accounts if necessary - Holds payers responsible to contract terms and fee schedules - Completes work list with the activity code, tickle date, phone number - Demonstrates ability to work with high volume of outgoing calls associated with collection of accounts - Demonstrates adequate, appropriate, and professional levels of communication with insurance company representatives, team members, supervisors, and managers. - Establishes relationship with payer contacts - Ensures timely turnaround of internal requests (EOB’s, medical records) through effective follow-up - Performs due diligence on all collection efforts - Ensures expected reimbursement is secured - Elevates serious barriers to claim resolution to appropriate