Business Office - Legal Requests Specialist

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Responsibilities:

1. Prepares and responds to legal requests which includes attorney’s offices, requests from companies on behalf of attorneys and subpoenas.

2. Display Effective Communication Skills

• Demonstrates active listening skills.
• Notifies and keeps leads and supervisors informed on issues identified.
• Follows telephone etiquette procedures set forth by the organization and/or individual department.
• Professional/Courteous responses when communicating with customers, health system staff and management.

3. Handling of Referrals

• Timely and accurately handling of referrals, both regular and escalated priority from management, within department guidelines.
• Documents clearly and appropriately all referrals (including patient inquiries) in the Source System when necessary.
• If necessary, follows up with patients on final results of inquiry both timely and professionally. Notifies patient of final results of account handling in question.

4. Knowledge of System Applications

• Demonstrates ability to learn and maintain a working knowledge on all the current health system applications.
• Identify/obtain/print medical records as necessary.

5. Auditing of Patient Accounts

• Leverages all needed resources to complete an audit of an account.
• Documents audit finding and actions taken in Source System when necessary.

6. Ability to interpret correspondence assigned for accurate handling.

7. Special Projects and Tasks as Assigned

• Completion of any assigned projects timely, accurately and to the specifications of leadership.
• Ensure Daily/Weekly/Monthly assignments are handled accurately and timely.

8. Maintaining Daily Workflow

• Manages and maintains assigned workflow queues according to department guidelines.
• Mail/Correspondence processed and handled following departmental guidelines.
• Documents both timely and appropriately in Source System using proper documentation methods.
• Fundamental understanding of different work item, state based and exception queues within the Patient Accounting System applications.

Schedule:

Mon - Fri, 8:00am to 4:30pm

Job Description:

Education

• High school diploma, General Educational Development (GED) or equivalent required.

Experience

• Minimum of one (1) year prior experience in healthcare or business setting preferred.
• Prior exposure to patient billing records normally acquired through work in a physician’s office or other healthcare setting preferred.

License/Certifications

• N/A

Skills/Knowledge/Abilities

• Requires the ability to read and write English well.
• Ability to understand basic office tasks such as emailing, editing Word documents, faxing and mailing correspondence, notating and understanding HIPAA documents and letters.
• Ability to use effective communication skills in order to handle patient inquires, attorneys, health system staff and payers on a professional level.
• Knowledge and understanding of accounting and business principles to enable accurate auditing of patient accounts.
• Ability to maintain a working knowledge of multiple system applications.

Weight Demands

• Light Work - Exerting up to 20 pounds of force.

Physical Activity

• Occasionally Performed (1%-33%):
  • Balancing
  • Climbing
  • Carrying
  • Crawling
  • Crouching
  • Distinguish colors
  • Kneeling
  • Lifting
  • Pulling/Pushing
  • Reaching
  • Standing
  • Stooping/bending
  • Twisting
  • Walking
• Frequently Performed (34%-66%):
  • Hearing
  • Repetitive Motions
  • Seeing/Visual
  • Speaking/talking
• Constantly Performed (67%-100%):
  • Grasping
  • Keyboarding/typing
  • Sitting

Job Hazards

• Not Related:
  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
  • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
  • Equipment/Machinery/Tools
  • Explosives (pressurized gas)
  • Electrical Shock/Static
  • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
• Rare (1-33%):
  • Chemical agents (Toxic, Corrosive, Flammable, Latex)
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.