Patient Service Coordinator III

Position Summary

Reporting to the department supervisor, this position is responsible for supporting management in the billing and collection of accounts receivable for the Health System and/or to resolve complex payer issues to completion on a daily basis. Critical to this position is a basic understanding of the importance of evaluating and securing all appropriate financial information to maximize reimbursement for the Health System.

About the Role

The Patient Service Coordinator must demonstrate proficiency in billing and/or collection of at least one payer’s billing practices, with basic understanding of additional insurance payer’s billing and collection practices. Must demonstrate analytical skills to resolve debit and/or credit balance accounts.

Responsibilities

• Serves as a team member of a receivable processing unit for multiple entities, and, as such, must establish relationships at all facilities and be familiar with each institution’s computer and payer contracts.
• Works with other Patient Financial Service Coordinator’s to resolve accounts to completion.
• Completes appropriate follow-up and monitoring of accounts until resolution.
• Brings instances of recurring errors/issues to the supervisor’s attention.
• Serves as member on pilot test team for new processes or programs.
• Alerts management of any backlogs.

Requirements

• Education: Associate in Arts Degree in Accounting, Business Administration, or a related area of study or equivalent combination of education and work experience preferred.
• Knowledge: Detailed working knowledge of accounting or general office procedures. Requires knowledge and demonstrated proficiency in at least two or more specific payer’s application, and/or billing and collection process guidelines. Preferred knowledge of additional insurance payer’s billing and collection practices.
• Skills: Analytical skills to resolve debit and/or credit balance accounts. Budget Responsibility: Effectively uses resources within control. Authority/Decision Making: Organizes and prioritizes work to meet changing needs. Provides input regarding work processes based upon existing policy interpretation and general industry guidelines. Monitors bills/payments/credits and notifies management of any variances in routine processing. Complete account adjustments, refund requests, and/or bad debt placements for accounts and forwards to supervisor for approval based upon department guidelines. Supervisory Responsibility: In absence of supervisor, interacts with others in a “quasi-supervisory” capacity without expressed authority. Assists in providing “hands-on” training to new employees and retraining to those employees who require it. Documents process steps to assist in completing and revising departmental policies and procedures. Constantly evaluates workflow and JHHS processes and appropriately recommends process improvements. Projects “team spirit” and willingness to try new processes at all times. Positively accepts change and assists in implementing new processes. Acts as a team leader for projects. Completes first draft of policies and procedures for management review.

Qualifications

• Education: Associate in Arts Degree in Accounting, Business Administration, or a related area of study or equivalent combination of education and work experience preferred.
• Knowledge: Detailed working knowledge of accounting or general office procedures. Requires knowledge and demonstrated proficiency in at least two or more specific payer’s application, and/or billing and collection process guidelines. Preferred knowledge of additional insurance payer’s billing and collection practices.
• Skills: Analytical skills to resolve debit and/or credit balance accounts. Budget Responsibility: Effectively uses resources within control. Authority/Decision Making: Organizes and prioritizes work to meet changing needs. Provides input regarding work processes based upon existing policy interpretation and general industry guidelines. Monitors bills/payments/credits and notifies management of any variances in routine processing. Complete account adjustments, refund requests, and/or bad debt placements for accounts and forwards to supervisor for approval based upon department guidelines. Supervisory Responsibility: In absence of supervisor, interacts with others in a “quasi-supervisory” capacity without expressed authority. Assists in providing “hands-on” training to new employees and retraining to those employees who require it. Documents process steps to assist in completing and revising departmental policies and procedures. Constantly evaluates workflow and JHHS processes and appropriately recommends process improvements. Projects “team spirit” and willingness to try new processes at all times. Positively accepts change and assists in implementing new processes. Acts as a team leader for projects. Completes first draft of policies and procedures for management review.

Skills

• Basic understanding of the importance of evaluating and securing all appropriate financial information to maximize reimbursement for the Health System.
• Detailed working knowledge of accounting or general office procedures.
• Demonstrated proficiency in at least two or more specific payer’s application, and/or billing and collection process guidelines.
• Preferred knowledge of additional insurance payer’s billing and collection practices.
• Analytical skills to resolve debit and/or credit balance accounts.
• Ability to obtain payer specific details, as necessary, and complete additional payer billings and collections, as needed.
• Works with other Patient Financial Service Coordinator’s to resolve accounts to completion.
• Completes appropriate follow-up and monitoring of accounts until resolution.
• Brings instances of recurring errors/issues to the supervisor’s attention.
• May assist in data gathering, documenting, and analyzing payer issues.
• May assist in monitoring the timeliness of response to inquiries and preparing “root cause” analysis to identify factors creating patient dissatisfaction.
• Demonstrates ability to identify and resolve complex billing or credit balance problems.
• Maintains awareness of specific financial application requirements, payer billing, and/or collections processes and notifies management of any variances in routine processing.
• Serves as member on pilot test team for new processes or programs.
• Awareness of ways to improve current processes within the Health System.
• May assist in the installation of additional software applications to improve the efficiency and effectiveness of the billing, refund, and collection processes.
• Alerts management of any backlogs.

Benefits

Not specified.

Pay

Minimum $18.87/visit - Maximum $31.15/visit. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.

Schedule

Evening Shift