Ops Coord Patient Acctg

About the role

The Operations Coordinator Patient Accounting plays a crucial role in the patient accounting and billing operations within Northwestern Medicine. Reporting to the Patient Accounting Manager, this position oversees various aspects of patient billing and collections, ensuring compliance with regulatory requirements and improving operational workflows.

Responsibilities

• Provide leadership and expertise to Patient Accounting Billing & Follow-up staff.
• Maintain oversight for claim edits, bill management, and third-party payer communication.
• Manage third-party accounts receivable, denials, and appeals.
• Ensure compliance with regulatory billing requirements and report any breaches.
• Manage accounts receivable and generate reports on a daily, weekly, and monthly basis.
• Monitor staff performance and provide feedback.
• Implement and manage cross-training schedules.
• Communicate with management, staff, external vendors, and internal departments.
• Conduct testing of system updates and provide feedback to IT.
• Manage department expenses and budget.

Qualifications

• Bachelor’s degree in an applicable field of study or equivalent work experience.
• Minimum of five (5) years of progressive work experience with a call center, patient customer service, and/or self-pay collections with supervisory experience.
• Knowledge of hospital and physician base patient management and automated systems.
• Able to effectively supervise a team composed of direct and indirect reporting relationships.
• Excellent communication skills when dealing with patients, authorized guarantors, public, co-workers, and professional offices.
• Advanced knowledge of medical terminology, insurance plan payment practices and billing requirements.
• Extensive experience and knowledge of PC applications, including Microsoft Office and Excel.
• Knowledge of and detailed understanding of all negotiated agreements.
• High-level problem-solving, analytical, and investigational skills.
• Excellent internal/external customer service skills.
• Detail-oriented, good organizational skills, and ability to be self-directed.
• Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere.
• Flexibility to perform other tasks as needed in an active work environment with changing work needs.
• Knowledge of NMHC systems and policies and procedures.