Patient Revenue Coordinator

Job Description

Job Description

Benefits :

401(k)

401(k) matching

Dental insurance

Health insurance

Paid time off

Vision insurance

JOB SUMMARY

Ensures all operations relating to patient revenue are functioning accurately and timely for proper generation and submission of claims and proper payment of claims by payers.

Reports To : Director of PFS

Classification : Non-Exempt

QUALIFICATIONS

Five years experience in hospital revenue billing with a Bachelors degree or 7+ years equivalent experience. Knowledge of Medicare, Medicaid, and other Governmental & Commercial claim requirements. Knowledge of State and Federal regulations related to claims preparation and submission. Experience with robust, hospital billing and claims processing software (Examples : McKesson Paragon, Epic or CPSI). Strong computer skills and excellent communication skills. Evidence of the ability to focus on details.

OCCUPATIONAL EXPOSURE

Category III, office environment.

RESPONSIBILITIES

• Ensures hospital claims are processed accurately and timely.
• Meets goals set forth in Key Performance Indicators.
• Strong understanding of CPT4, HCPCS and ICD-10 codes.
• Maintains / updates billing software Paragon.
• Audits remittances against contract fee schedules on a monthly basis and reports variances to Director.
• Prepares Revenue Cycle Metrics reports as requested to assist with identifying areas of improvement.
• Assumes any other responsibilities that may be assigned by the DPFS as needed.
• Assists with training of team members as needed.
• Adheres to all Finance Division Policies & Procedures.
• Must have strong, positive telephone and customer service etiquette.
• Must display positive communication and listening skills.
• Needs full knowledge and understanding of health insurance guidelines and billing regulations.
• Collaborate with registration teams and billing specialists to streamline the revenue cycle process.
• Assists with posting of patient payments daily, as necessary.
• Assists with balancing all payment batches and post Daily Receipt Logs.
• Assists with reviewing variance reports for over / under payments.
• Assist with sending denials and late billing reports to external vendors contracted with CCLSH routinely.
• Comply with facility Standards of Behavior and complete all required education assignments within the designated timeline.

PHYSICAL DEMANDS

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.
• The employee must be able to lift and / or carry over 20 pounds on a regular basis and be able to push / pull over 25 pounds on a regular basis.
• The employee must be able to stand and / or walk at least two hours per day.

WORK ENVIRONMENT

1. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.