Sr Business Coord Risk Mgmt/full time days/RMH

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Job Description Summary:

Manages and settles patient claims around lost valuables. Also, this position is responsible for ensuring smooth and efficient day to day operations of the Risk Management Department.

Responsibilities And Duties:

15%:
Coordination / Computer SkillsAssists manager in coverage of this position across the system and coordinates interviews for open positions.Sets up interviews with nurses/physicians, etc. for defendants or those required for depositions and communicating to outside attorneys. See Legal Matters Maintains and ensures updated information in Risk Management Database – ORIGAMI.Provide PowerPoint presentations with graphs from database.Work with Microsoft Excel to provide required data entry – with graphing.Auditing of staffing entries.
30%:
Legal Matters:Gather all records for litigation. Requests Medical Records for patient inquires/ Notice Letters/Summons and Complaints, ensuring certification of each record from all hospitals and office visits, as well as obtaining itemized billing, films and reports from Radiology.Help with organization and research in preparation of interrogatories.Send legal information through courier service.Maintain Notary Certification.Communicate with outside law firms’ Paralegal to ensure accurate information is submitted.Communicate with Corporate Legal Department to confirm accurate information around claim.Complete request for patient refunds or payment with direction of the Manager or Risk Consultant Coordinator .Collect data for trending of potentially compensable events PCE ; provides feedback to managers around these matters.Assist with updates to the orientation manual and risk protocolsRisk Management database reviews done weekly to ensure complianceProofreading of written communication
30%:
Lost and FoundManage all claims related to lost patient belongings.Independently investigates claims for validity, working with multiple departments to find item or how it was lost. This would include rounding in multiple departments, interviewing staff and management.Negotiate with patient and outside vendors to settle matters – e.g. setting up agreement for denture replacement/repair.Settle small matters with claimants’ and requests checks through accounts payable; e.g. check requests, issues payment on invoices.Process claims as settlement or denial.Will document appropriate information around lost and found related to each matter in the data system.Communicate with patient/family around their concern and documentation of that conversation.Letter writing to vendors, claimants, and businesses as needed.Work with courier, coordinating delivery of items as requested.
15%:
FinanceRequest checks for payments to outside vendors to settle matters around lost or broken patient valuables and will document this activity.Will manage and document activities around the “petty cash” fund at specific campuses.Provides to Legal, necessary information for the Center for Medicare/Medicaid Services required reporting.Prepares financial reports for senior leadership.
10%:
Office FunctionsCoordinating Meetings / rooms and equipment.Order supplies and educational materials for the department.Coordinate Team Meetings/Retreats.Maintain department event tracking and assist with organization of files.Answer primary or all phones as decided on per campus and follows up on inquiriesDistribute departmental mailMaintain and distributes departmental contact listType patient letters as requestedAssist in preparation of the orientation information Misc. related duties

Minimum Qualifications:

High School or GED (Required)

Additional Job Description:

Preferred Bachelor Degree in Business or Healthcare or 3 years’ experience in an office with team performance; the ability to write/proofread documents; must become a Notary as part of this position within 6 months.Specialized Knowledge: Microsoft Office products (Excel, PowerPoint, Word, Access), Kronos, Risk Management Database, Quality Management Database, CareConnect.Kind and Length of Experience: Above or 3 year experience in office working as a team, working with a diverse group of individuals.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Risk Management

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment