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Job Title Gatekeeper*
Location Maywood, IL*
*Position is based out of Maywood, IL
Department Coding and Billing
FLSA Status Non-Exempt
Reports to Operations Supervisor
Shifts hiring Part-time
Additional Information Part-time - Days


General Summary: 

Under the supervision of the Operations Manager; the gatekeeper is responsible for accurate and timely preparation of complete patient billing and support documentation for the Billing Department, including appropriate notes into the Zoll System.  Responsible for fulfilling all Medicare/Medicaid requests for Medical Necessity and non-emergent runs.  The Gatekeeper is responsible for answering phones and forwarding calls to appropriate extensions, as well as opening, sorting and distributing mail and any other administrative duties required by the Operations Manager.

 

Primary Responsibilities and Duties:

  1. Reviews completed bills and all required documentation received from crews for completeness and ensures all necessary forms are present.
  2. Reconciles bills received report; completes workflows and performs required mailings according to Medicare and Medicaid guidelines.
  3. Forwards hard card, run sheets and any other supporting documentation to the billing department; Scans documents as directed.
  4. Forwards all information to the Operations Manager and/or supervisor for follow-up regarding bills, substandard documentation and missing forms.
  5. Completes a wide range of word processing tasks that include correspondence, profiles, lists, forms, tables, charts, records, and statistical tables. 
  6. Receives and resolves incoming calls.
  7. Forwards return calls to appropriate extension.
  8. Adheres to department customer service and performance standards.
  9. Opens, sorts, and distributes mail.
  10. Operates standard office equipment such as word processors, calculators, photocopiers, dictation equipment, typewriters and the like.  May be responsible for contacting service personnel to repair office equipment.
  11. Meets with crew-members demonstrating a need for additional documentation remediation and record training sessions for employee files
  12. Notifies QA/QI Coordinator/Operation Manger of any transport not meeting medical necessity
  13. Notifies the billing office of any transport not meeting medical necessity.
  14. Maintains files in an orderly fashion.
  15. Contacts physician offices, medical record clerks etc. as needed to obtain correct patient/transportation information.
  16. Maintains confidentiality of ALL patient, employee and corporate records and information in accordance with all HIPPA and any other governmental/administrative policies/procedures/regulations.
  17. Completes other duties as assigned.
  18. Establishes, maintains and revises record keeping and filing systems, classifies, sorts and files correspondence, articles, records and other documents.
  19. Gathers data from departmental records and prepares, completes and/or processes reports, records and billings, which require an understanding of departmental / division policies and procedures.
  20. Regularly assists in the preparation of reports.
  21. Assists with "special" projects.
  22. Assists with conducting audits. 
  23. Demonstrates personal commitment to the Organization’s core values through active involvement in the performance improvement process.
  24. Exhibits excellent customer service skills and behaviors toward internal and external customers and co-workers.
  25. Adheres to department customer service and performance standards.

 

Knowledge, Skills And Abilities Required:

  1. Minimum Education:  High School Diploma or Equivalent.
  2. Minimum Work Experience: Must have six months of work experience and basic knowledge of office procedures.  Ability to work well with the public.  Good customer service skills and the ability to work in a team based environment.
  3. Contact With Others:  Operations, Human Resources, Supervisors, and EAS Staff
  4. Analytical Demands: Must have the ability to organize work activities to ensure efficient use of time and acceptable productivity.  Ability to create and utilize spreadsheets and databases.
  5. Certification, Licensure, Registration: None required.

 

Working Conditions:

  1. Physical Effort: Mental, visual stress related to computer input.  Viewing of computer screens and printed material for prolonged periods of time.  Lifting limited to a box of forms weighing 10-12 pounds.  Prolonged periods of sitting.
  2.  Work Environment:  Normal office environment. Generally good working conditions in that office setting. Frequent interruptions, work pressure and irregularities in work schedule are expected. Employee is subject to continually changing tasks with continually changing deadlines. While performing the duties of this job, the employee is occasionally required to attend both regular and unscheduled meetings.
  3.  Equipment Used:  Normal office equipment Computer, fax machine, copy machine and phone.

 

 

The above primary job duties and responsibilities describe the level and nature of work performed by the employees assigned to this job.  The description should not be construed as an exhaustive listing of all job duties and responsibilities performed by this job.

Community EMS utilizes Direct Deposit for compensation.  As a condition of employment, all employees must designate a financial institution equipped to accept direct deposits and the number of the account into which the deposit is to be made. 


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