Good Samaritan Coordinator II

Company Overview: Eau Claire Cooperative Health Center, Inc. (dba Cooperative Health) is a leading community health center serving the Midlands of South Carolina since 1981. It is deeply rooted in its mission of providing accessible, high quality, compassion health care in the spirit of the Good Samaritan. The organization’s values of: treating each other with respect, putting people first, being excellent at what we do, promoting a collaborative work environment, improving community/population health, fostering innovative thinkers, and getting results, are core attributes of every employee at Cooperative Health.

Position Summary: The GSP Coordinator II is responsible for reviewing and determining final eligibility for the Sliding Fee Program. The GSP Coordinator II is responsible for tracking and communicating errors at the site level to the Revenue Cycle Supervisor and is also responsible for contacting the patients for additional information. In addition, the GSP Coordinator II is responsible for identifying Medicaid and Medicare eligibility and reviewing patient accounts for necessary billing adjustments and refunds. The GSP Coordinator II will be cross-trained in billing functions to assist with overall AR. The GSP Coordinator II will work overtime as needed to assist with billing or GSP projects. The GSP Coordinator II also is responsible for participating in ongoing interdepartmental trainings and other tasks as assigned by the Revenue Cycle Supervisor and Revenue Cycle Director.

Principles Responsibilities:

• Working special projects.
• • Accounts receivables AR projects.
• Cross-trained to work assigned insurances or special contracts.
• Posting custom transaction adjustments for AR (as assigned).
• Assist with various billing projects.
• Daily auditing and processing of GSP Applications.
• Same day approval and processing of GSP Renewals from the sites (as applicable).
• Responsible for logging, monitoring and following up on all pending applications.
• Responsible for loading notes for Palmetto Access effective and expiration dates.
• Ongoing updates and corrections to Patient Demographics within the Practice Management system and entering Notes.
• Responsible for inputting demographics of GSP approval into Practice Management System.
• Respond to internal and external calls and emails regarding patient balances and application statuses.
• Responsible for keeping accurate files of all GSP and Palmetto Access Applications.
• Ongoing communication with Palmetto Access regarding the processing of Palmetto Access Applications.
• Monthly adjustments and write-offs for all GSP from Accounts Receivables.
• Responsible for mailing out correspondence regarding GSP Renewal and additional information for approval.
• Determination of Medicaid Eligibility and other community services.
• Initial training of GSP for all new hires as directed by supervisor.
• Attends workshops, seminars, etc. regarding indigent patients and community resources.
• Works closely with Outreach Coordinator on the GSP applications for special contracts.
• Responsible for submitting GSP logs and specialty adjustment reports daily via email.
• Submit Weekly Updates via email regarding ongoing errors and/or trends of noncompliance.
• Participates in annual audits.
• Responsible for other tasks and duties as directed by Supervisor.

• Other duties assigned.

Competencies:

• Ability to embody the mission and vision of Cooperative Health.
• Excellent written and verbal communication and problem solving skills.
• Ability to communicate with people from a variety of socioeconomic and cultural backgrounds.
• Ability to prioritize, organize and carry out work assignments independently and efficiently.
• Ability to maintain appropriate degree of confidentiality.

Education & Experience:

• High school diploma or equivalent required; Associate degree preferred.
• Experience in the medical and/or billing field with primary focus in daily clinic billing.
• Additional appropriate education may be substituted for one year of billing experience.
• Must have good decision-making skills and be able to resolve account issues.
• Knowledge of CPT & ICD-10 Coding a plus.
• Able to work at a consistent and efficient pace independently.
• Must be careful, detail-oriented, hard- working and have excellent follow-through on assignments.
• Data entry proficiency with ability to use a calculator and accurate keyboard skills.
• Ability to prioritize and work independently.
• Ability to manage multiple projects; organize and schedule tasks to meet all deadlines.
• Excellent organizational skills, ability to manage multiple tasks and meet deadlines.
• Sufficient computer competency; working skill set for Word and Excel.
• Must display professional attitude and maintain professional appearance.
• Must be able to follow written and oral instructions.
• Must be able to speak and present in front of an audience.
• Must be able to work as part of a Team and foster the “Team” concept.
• Ability to prioritize, meet deadlines and willing to work Over-Time as needed.

Physical Demands:

• Prolonged periods sitting or standing
• Must be able to lift up to 25 pounds
• Be able to sit, stand, stoop, squat for extended periods of time throughout the day
• Standing or walking for extended periods throughout the day

Company Conformance Statement

In the performance of respective job assignments, all employees are required to conform with Cooperative Health’s:

• Board approved policies and procedures;
• Confidentiality and professional provisions;
• Compliance program; and
• Standards of conduct.

Supervisory responsibility

No