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Performance Improvement Specialist, FT, Days, FMC Administration

Administration & Operations

Job Description

  • JOB SUMMARY
    The Performance Improvement Specialist at North Mississippi Health Services is responsible for identifying opportunities for performance improvement and orchestrating change management to implement recommended solutions to achieve better financial and operational performance. This role operates under the guidance of the Best Practice Director and utilizes technical knowledge of the Practice Management System alongside strong analytical, organizational, and communication skills to analyze workflows, generate reporting, deliver trainings, plan electronic system developments, and serve as a primary point of support to address operational and system functionality to drive realization of improved performance across the organization.
    JOB FUNCTIONS
    • Serves as Super User for Practice Management System.
    • Identifies and communicates practice or department workflow or system challenges that impede the ability to effectively manage registration/check in/check out functions in a practice. Proactively provides recommended solutions to improve performance.
    • Uses training and related materials, assessments, “crucial conversations”, and other tools and skill-sets to facilitate changing employee actions, reducing revenue cycle errors and increasing work flow efficiency when needed.
    • Determines priority-setting by using dashboards, patient satisfaction scores, and other standard metrics and benchmarks.
    • Assists with training and provides in-services to NMMCI and client employees on the practice management system, software updates and revenue cycle best practices.
    • Generates reports to meet business and operational needs.
    • Participates in practice management system and electronic medical record planning, testing, application support/design/build.
    • Serves as a frontline support to address system functionality questions and issues.
    • Adheres to NMHS/NMMCI Policies/Procedures/Guidelines.
    • Complies with applicable State/Federal/Regulatory laws/policies/guidelines.



    QUALIFICATIONS


    Education
  • Associate's Degree in Business or related field. Required

    Licenses and Certifications


    Work Experience


    Knowledge Skills and Abilities
  • Proficient working experience with wireless networks, MS Office products, and various computer programs; required
  • Excellent verbal and written communication; required
  • Excellent organizational and analytic skills; preferred
  • Knowledge of CPT, HCPCS and ICD-10 coding principles in a multi-specialty physician practice; preferred
  • Thorough understanding of government and commercial payers’ guidelines as well as reimbursement methodologies; preferred
  • Ability to perform all aspects of the physician billing cycle including initial claim submission, payer rejection resolution, denial follow-up, secondary appeal and credit balance resolution; preferred
  • Possesses advanced understanding of medical terminology
  • Possesses the ability to guide the client staff through changes in their workflow processes to achieve the client’s defined success criteria for the group
  • Possesses in-depth understanding of the healthcare industry, reimbursement processes and issues in a medical practice
  • Exhibits evidence of high-profile activity within the profession, such as published articles, public speaking experience, or active positions held within professional associations
  • Demonstrates ability to work effectively with other clinical, administrative, and leadership staff within the group’s practice, including the ability to objectively review and analyze changes in workflow processes that impact multiple departments
  • Possesses the ability to help non-technical clients understands the capabilities of the products and services provided by the company and the impact that those products and services can have on their existing clinical workflow
  • Demonstrates ability to teach in a variety of settings
  • Maintains strict confidentiality

    Physical Demands

    A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
  • Standing . Constantly
  • Walking . Frequently
  • Sitting . Rarely
  • Lifting/Carrying . Frequently 50 lbs
  • Pushing/Pulling . Frequently
  • Climbing . Occassionally
  • Balancing . Occassionally
  • Stooping/Kneeling/Bending . Frequently
  • Reaching/Over Head Work . Frequently
  • Grasping . Frequently
  • Speaking . Occassionally
  • Hearing . Constantly
  • Repetitive Motions . Constantly
  • Eye/Hand/Foot Coordinations . Frequently

    Benefits A****vailable
  • Continuing Education
  • 403B Retirement Plan with Employer Match Contributions
  • Pet, Identity Theft and Legal Services Insurance
  • Wellness Programs and Incentives
  • Referral Bonuses
  • Employee Assistance Program
  • Medical Benefits
  • Dental Benefits
  • Vision Benefits
  • License + Certification Reimbursement
  • Life, Long-Term and Short-Term Disability, Group Accident, Critical Illness and Hospital Indemnity Insurance
  • Employee Discount Program
  • Other:
  • Early Access to Earned Wages
  • Tuition Assistance
  • Relocation Assistance
  • Paid Time Away
  • Special Employee Rates at NMMC Wellness Centers
North Mississippi Health Services
About North Mississippi Health Services

North Mississippi Health Services (NMHS) is a diversified regional health care organization serving 24 counties in north Mississippi and northwest Alabama and is one of the largest employers in Mississippi with over 6,900 employees. NMHS covers a broad range of acute diagnostic and therapeutic services offered through North Mississippi Medical Center (NMMC) in Tupelo, Community Hospital System, and North Mississippi Medical Clinics.  NMHS strives to improve the health for people in this region by providing conveniently accessible and cost-effective healthcare of the highest quality. 

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