Sheridan Memorial Hospital
Good Faith Estimate Processor
Sheridan Memorial Hospital, Sheridan, Wyoming, United States, 82801
ABOUT SHERIDAN MEMORIAL HOSPITAL
At Sheridan Memorial Hospital, we proudly rank in the top 13.6% of U.S. hospitals, recognized by the Centers for Medicare and Medicaid Services. With over 850 dedicated employees and 100+ expert providers across 25 specialties, we are committed to exceptional, patient-centered care. Set in northern Wyoming's stunning Big Horn Mountain foothills, Sheridan offers outdoor adventure and community charm. Our hospital combines cutting-edge technology with a collaborative, innovative culture. Join a team that values your skills, fosters growth, and empowers you to impact lives meaningfully. Apply today and be part of Sheridan Memorial Hospital's mission of excellence! •
Nestled at the foothills of the Big Horn Mountains in northern Wyoming, spectacular scenery and outdoor activities abound. Our hospital has the latest technology and equipment comparative to that of many larger facilities, and you will find our staff is friendly, compassionate, caring, and courteous. We focus on creating and nurturing a workplace that encourages, recognizes, and rewards individual effort and creativity. Leadership is responsive to changing modes of healthcare delivery and adapts accordingly. We value effective communication and honesty and believe teamwork based on mutual respect is key to success.
JOB SUMMARY
Service excellence and a culture of kindness are priorities for Sheridan Memorial Hospital. The Good Faith Estimate (GFE) Processor will review and analyze medical records to determine appropriate assignment of ICD-10-CM and CPT to reflect patient diagnoses and procedures. Will create good faith estimates based on patient appointment details using ICD-10-CM, CPT, and payer pay codes. Responsible for mailing good faith estimate letters per the No Surprises Act requirements. Ensures compliance with all legal and procedural requirements.
ESSENTIAL DUTIES/RESPONSIBILITIES Reviews and creates GFE letters for patient's scheduled appointments within the hospital and clinics in accordance to the No Surprises Act. Creates GFE letter per patient request. Mails GFE letter per required time frame specified by the No Surprises Act. Complies with all legal requirements regarding coding procedures and practices. Maintains Sheridan Memorial Hospital compliance with the No Surprises Act. Be the primary contact and resource for intra department contact regarding the GFE, ICD-10-CM, CPT and cost. Identifies opportunities to improve the GFE process. Works with the Patient Accounts manager and supervisor to implement process improvements. MINIMUM REQUIREMENTS
Education/Experience/Licenses and Certifications
High school diploma or general equivalency diploma (GED). Minimum one year in a healthcare environment, preferred. Knowledge of third party payers and associate regulations, preferred. Proficiency in operating a computer and ability to learn and use computer applications. Additional Skills
Language Skills
Ability to read, analyze, interpret, and communicate proficiently in English. Ability to effectively present information and respond to questions from providers, clinical staff, payers, and patients. Ability to write clearly and informatively; excellent spelling skills. Ability to use analytical thinking, independent judgment and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers. Ability to interpret a variety of instructions furnished in written, oral, or scheduled form.
Computer Skills
Proficient with MS Office Suite including Word, Excel and PowerPoint. Proficient with the EMR system.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to use analytical thinking, independent judgment and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers. Ability to interpret a variety of instructions furnished in written, oral, or scheduled form.
Other Knowledge, Skills, and Abilities
Demonstrates excellent time management and organization skills with attention to detail. Demonstrates the ability to maintain high level of confidentiality. Ability to cope with stressful situations and maintain a calm and professional demeanor. Ability to work in fast-paced, challenging and stressful work environment. Must possess the ability to do multiple tasks simultaneously. Demonstrated professional phone etiquette and communication skills. Understanding of medical terminology, grammar, punctuation, style, and editing. Ability to maintain high levels of accuracy and organization during high volume periods, with the ability to consistently prioritize, meet changing deadlines, and troubleshoot problems. Knowledge of hospital and departmental policies, procedures, and systems. Good Faith Estimate Processor will be trained to become proficient and maintain the standardized benchmarks for the department. Ability to exercise tact, judgment and persuasiveness in creating and maintaining harmonious relations in working with coworkers, patients, families, visitors, physicians, and the general public.
Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. Exposure to odorous chemicals / specimens and Latex products.
Pre-employment drug and alcohol screening is required.
Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to race, color, religion, age, sex, national origin, disability or protected veteran status. If you would like more information about your EEO rights as an applicant under the law, please click here.
At Sheridan Memorial Hospital, we proudly rank in the top 13.6% of U.S. hospitals, recognized by the Centers for Medicare and Medicaid Services. With over 850 dedicated employees and 100+ expert providers across 25 specialties, we are committed to exceptional, patient-centered care. Set in northern Wyoming's stunning Big Horn Mountain foothills, Sheridan offers outdoor adventure and community charm. Our hospital combines cutting-edge technology with a collaborative, innovative culture. Join a team that values your skills, fosters growth, and empowers you to impact lives meaningfully. Apply today and be part of Sheridan Memorial Hospital's mission of excellence! •
Nestled at the foothills of the Big Horn Mountains in northern Wyoming, spectacular scenery and outdoor activities abound. Our hospital has the latest technology and equipment comparative to that of many larger facilities, and you will find our staff is friendly, compassionate, caring, and courteous. We focus on creating and nurturing a workplace that encourages, recognizes, and rewards individual effort and creativity. Leadership is responsive to changing modes of healthcare delivery and adapts accordingly. We value effective communication and honesty and believe teamwork based on mutual respect is key to success.
JOB SUMMARY
Service excellence and a culture of kindness are priorities for Sheridan Memorial Hospital. The Good Faith Estimate (GFE) Processor will review and analyze medical records to determine appropriate assignment of ICD-10-CM and CPT to reflect patient diagnoses and procedures. Will create good faith estimates based on patient appointment details using ICD-10-CM, CPT, and payer pay codes. Responsible for mailing good faith estimate letters per the No Surprises Act requirements. Ensures compliance with all legal and procedural requirements.
ESSENTIAL DUTIES/RESPONSIBILITIES Reviews and creates GFE letters for patient's scheduled appointments within the hospital and clinics in accordance to the No Surprises Act. Creates GFE letter per patient request. Mails GFE letter per required time frame specified by the No Surprises Act. Complies with all legal requirements regarding coding procedures and practices. Maintains Sheridan Memorial Hospital compliance with the No Surprises Act. Be the primary contact and resource for intra department contact regarding the GFE, ICD-10-CM, CPT and cost. Identifies opportunities to improve the GFE process. Works with the Patient Accounts manager and supervisor to implement process improvements. MINIMUM REQUIREMENTS
Education/Experience/Licenses and Certifications
High school diploma or general equivalency diploma (GED). Minimum one year in a healthcare environment, preferred. Knowledge of third party payers and associate regulations, preferred. Proficiency in operating a computer and ability to learn and use computer applications. Additional Skills
Language Skills
Ability to read, analyze, interpret, and communicate proficiently in English. Ability to effectively present information and respond to questions from providers, clinical staff, payers, and patients. Ability to write clearly and informatively; excellent spelling skills. Ability to use analytical thinking, independent judgment and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers. Ability to interpret a variety of instructions furnished in written, oral, or scheduled form.
Computer Skills
Proficient with MS Office Suite including Word, Excel and PowerPoint. Proficient with the EMR system.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to use analytical thinking, independent judgment and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers. Ability to interpret a variety of instructions furnished in written, oral, or scheduled form.
Other Knowledge, Skills, and Abilities
Demonstrates excellent time management and organization skills with attention to detail. Demonstrates the ability to maintain high level of confidentiality. Ability to cope with stressful situations and maintain a calm and professional demeanor. Ability to work in fast-paced, challenging and stressful work environment. Must possess the ability to do multiple tasks simultaneously. Demonstrated professional phone etiquette and communication skills. Understanding of medical terminology, grammar, punctuation, style, and editing. Ability to maintain high levels of accuracy and organization during high volume periods, with the ability to consistently prioritize, meet changing deadlines, and troubleshoot problems. Knowledge of hospital and departmental policies, procedures, and systems. Good Faith Estimate Processor will be trained to become proficient and maintain the standardized benchmarks for the department. Ability to exercise tact, judgment and persuasiveness in creating and maintaining harmonious relations in working with coworkers, patients, families, visitors, physicians, and the general public.
Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. Exposure to odorous chemicals / specimens and Latex products.
Pre-employment drug and alcohol screening is required.
Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to race, color, religion, age, sex, national origin, disability or protected veteran status. If you would like more information about your EEO rights as an applicant under the law, please click here.