Faith Estimate Processor

Overview

Sheridan Memorial Hospital has achieved a 5-Star Quality Rating and ranks in the top 13.6% of hospitals rated by the Centers for Medicare and Medicaid Services. With more than 750 employees and over 100 providers across 25 areas of expertise, the facility is committed to outstanding patient-centered care in a state-of-the-art environment. Nestled at the foothills of the Big Horn Mountains in northern Wyoming, the hospital emphasizes teamwork, effective communication, honesty, and a culture that recognizes and rewards individual effort and creativity.

Leadership adapts to evolving healthcare delivery, and the organization values a friendly, compassionate, and courteous staff.

The following role supports service excellence and a culture of kindness: the Good Faith Estimate (GFE) Processor will review and analyze medical records to determine appropriate ICD-10-CM and CPT assignments, create good faith estimates based on patient appointment details using ICD-10-CM, CPT, and payer codes, and mail GFE letters in compliance with the No Surprises Act.

• Review and create GFE letters for patients’ scheduled appointments within the hospital and clinics in accordance with the No Surprises Act.
• Create GFE letters per patient request.
• Mail GFE letters within the required timeframe specified by the No Surprises Act.
• Comply with all legal requirements regarding coding procedures and practices.
• Maintain Sheridan Memorial Hospital compliance with the No Surprises Act.
• Serve as the primary contact and resource for intra-department communication regarding the GFE, ICD-10-CM, CPT, and cost.
• Identify opportunities to improve the GFE process and collaborate with the Patient Accounts manager and supervisor to implement improvements.

• High school diploma or general equivalency diploma (GED).
• Minimum one year in a healthcare environment, preferred.
• Knowledge of third-party payers and related regulations, preferred.
• Proficiency in operating a computer and ability to learn and use computer applications.

• 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 with excellent spelling.
  • 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 with limited standardization.
  • 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.
  • Maintains a high level of confidentiality.
  • Ability to cope with stressful situations and maintain a calm and professional demeanor.
  • Ability to work in a fast-paced, challenging, and stressful work environment.
  • Ability to multitask effectively.
  • Demonstrated professional phone etiquette and communication skills.
  • Understanding of medical terminology, grammar, punctuation, style, and editing.
  • Maintains high levels of accuracy and organization during high-volume periods; prioritizes, meets deadlines, and troubleshoots problems.
  • Knowledge of hospital and departmental policies, procedures, and systems.
  • Will be trained to become proficient and maintain standardized benchmarks for the department.
  • Ability to exercise tact, judgment, and persuasiveness when 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 Personal Protective Equipment. Exposure to odorous chemicals 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. For information about EEO rights as an applicant under the law, please .