What are the responsibilities and job description for the Patient Revenue Coordinator position at Central Louisiana Surgical Hospital?
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 Bachelor’s 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, including Microsoft Excel. Strong understanding of CPT4, HCPCS and ICD-10 codes. Evidence of the ability to focus on details. Excellent communication and customer service skills. Attention to detail and accuracy in data entry is a must. Ability to work independently and as a part of a team.
OCCUPATIONAL EXPOSURE
Category III, office environment.
RESPONSIBILITIES
- Ensures hospital claims are processed accurately and timely.
- Meets goals set forth in Key Performance Indicators.
- Audits remittances against contract fee schedules on a monthly basis and reports variances to Director.
- Assists with difficult claims across all payors and special projects.
- Prepares Revenue reports as requested to identify 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.
- Comply with facility Standards of Behavior and complete all required education assignments within the designated timeline.
- Full knowledge and understanding of health insurance guidelines and institutional billing regulations.
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.
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.
