Healthcare Reimbursement Coordinator | Patient Financial Services

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Primary Location

Department

Scheduled Weekly Hours

Starting Pay Rate Range

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Coordinates the day-to-day operations of the self-pay team and various vendors.
• Resolves escalated patient concerns: Conducts interviews and dialogue with patients, their families, and Monument Health subject matter experts in a professional manner utilizing public relation skills. Provides patient counseling to promote open communication, establish absolute comprehension and concern resolution, and initiate payment arrangements and/or financial assistance on outstanding account balances in accordance with established guidelines.
• Responsible for caregiver training and development for the self-pay team.
• Conducts a complex review, analysis, and follow up on unresolved account balances from the complete Monument Health system utilizing a vast multitude of varying software packages and their functions, in accordance with established guidelines to ensure a positive patient and family experience.
• Demonstrates a high level review of follow up processes necessary to ensure prompt, appropriate reimbursement and resolution of unresolved account balances due from responsible parties/patients.
• Reviews and identifies accounts which are absent of acceptable payment terms and performs the necessary actions to cycle those accounts to an appropriate agency for escalated collection activities. Runs reports and performs necessary skip tracing activities to locate responsible parties in a cost-efficient manner.
• Demonstrates ability to communicate effectively and efficiently utilizing verbal and written skills. Contacts and counsel's patient and family support teams by telephone, in direct contact interviews, and by utilizing written correspondence to provide satisfactory resolution of unresolved account balances in accordance within established timeliness standards and public relations guidelines to ensure a positive patient experience.
• Demonstrates application of reimbursement and collection policies according to established guidelines. Displays proficient application of all federal, state, and local regulations relating to the extension of healthcare services, revenue cycle billing and collections, and all allowable follow up procedures and processes.
• Displays advanced knowledge of third-party payer procedures such as eligibility and verification, claims submission, reimbursement, as well as an understanding of collection policies. Demonstrates this knowledge for third party payer groups including, but not limited to: Medicare, Medicaid, Champus, Blue Cross and all other third-party contractual agreements entered by Monument Health.
• Timely identifies additional or incorrect information causing errors on pending claims through direct communication with insurance companies. Researches and verifies the accuracy of transactions appearing on identified accounts, gathers and refers the necessary information to all subject matter experts to correct errors, expediting reimbursement and ensuring satisfactory account resolution and customer satisfaction.
• Collaborates and effectively communicates pertinent information in a professional manner to promote a positive work environment with all internal Monument Health caregivers including but not limited to: Patient Financial Services Claims Analysts, Health Information Management, Patient Financial Services Third Party Financial Advocates, and all other divisions and department subject matter experts and caregivers.
• All other duties as assigned.

Additional Requirements

Required:

Education - High School Diploma/GED Equivalent

Experience - 3+ years of Billing/Collections Experience; 3+ years of Revenue Cycle Experience

Job Category

Job Family

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Employee Type

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MonumentHealthis an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.