Job Description
Job Description
OVERVIEW : This position is responsible and accountable for the financial coordinators that handle all aspects of patient financial service with regard to reimbursement issues. This includes, but is not limited to, referral intake and authorization processing, billing, and collections.
This is a senior staff position that involves supervising other staff. This position works with minimal instruction or direction.
I. ESSENTIAL FUNCTIONS :
This position must be able to perform the following tasks hands-on :
- Review the doctor schedule on a daily basis to ensure that all new patients and return to center patient have a financial consult (in person or via the phone) to review and answer questions on our financial policies and requirements needed to ensure that patients will receive maximum benefits from their policies.
Standard :
Financial consult must be done within 1 week of initial visit or return to center
Manage assigned patient throughout treatment plan to ensure that authorizations have been received, patients are cleared to start cycles, deposits are collected timely for scheduling of procedures.Standard :100% Patient cleared before start date or documentation showing that all efforts to get patient cleared were done.
Follow-up with patients during the treatment plan to ensure patients are aware of any outstanding co-payments, balances, coinsurances.Answer patient calls and or correspondence as it pertains to billing questions, financial policies, claims submission and any other finance related issue.Standard :While logged into ACD phone system no more than 2 RNA calls per day. Return phone calls received before 3 : 00PM within the same business day and phone calls received after 3 : 00PM no later than the next morning. Answer correspondence within 1 week of receipt.
Time management to allow for all aspects of financial support.Maintain operations by following policies and procedures; studying existing and new credit and insurance information.Support Finance Department by effecting daily and monthly close.Contribute to team effort by maintaining an excellent rapport and working relationship with Patient Services, and supporting front desk activity as needed; cooperating with other departments within the Practice.This position is responsible for the performance and results of the “financial coordinator team”, and will participate in the following supervisory responsibilities :
The recruitment, selection, retention, training and supervision of financial coordinator team personnel.Overall leadership to assure all team members (1) have a clear sense of their role, (2) know the results expected, (3) understand and accomplish what is required to achieve Company goals and objectives, (4) know how well the team is performing, and (5) are motivated to achieve and continuously improve results; Creation of a work environment that encourages the achievement of individual goals consistent with Company goals, and recognizes and rewards individuals for their unique contributions.Compliance with all aspects of the Company’s Personnel Policies and Standard Procedures.An internal communication climate and network that promises open, accurate, timely, and two-way exchange of information, ideas and concerns; the assurance that all financial coordinator team employees are accountable and responsible for their results and are recognized for their achievements.The pledge that financial coordinator team job results are achieved and sustained by coaching, counseling, and disciplining, as well as planning, monitoring, and appraising job results.This position must work collaboratively with the Management Team with the following responsibilities :
Maintain Finance Department operations by following policies and procedures; studying existing and new credit and insurance information; enforcing adherence to requirements; advising management on needed actions and / or changes.Assist with more difficult patient and / or insurance reimbursement and payment issues.Monitor that phones are being covered and calls are being answered in a timely manner.Assist the Management team develop and implement workflow for new products, services, and processes; help analyze the effectiveness of new products, services, and processes once implemented.Accept other billing projects as assigned by Management and Senior Management.Contribute to team effort by maintaining an excellent rapport and working relationship with Patient Services, and cooperating with other departments within the Practice.II. CONFIDENTIAL AND SENSITIVE INFORMATION :
Maintains patient confidence and protects operations by keeping all patient and proprietary information confidential.III. SCOPE OF FINANCIAL RESPONSIBILITY :
Patient billing and reimbursement.Conduct patient financial consultations as requested.Responsible for promoting and supporting the Finance programs offered at RMA NJ ARC / and IntegraMedIV. ADDITIONAL RESPONSIBILITY :
Carry out special projects as assigned by Management.V. PROFESSIONAL DEVELOPMENT :
Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks.Participates in professional societies.Attends and / or facilitates in-service training as required.VI. EDUCATION / EXPERIENCE / PERFORMANCE FACTOR REQUIREMENTS :
Associate Degree in accounting or business or a technical training diploma. High School Diploma acceptable with appropriate hands-on medical reimbursement experience.Minimum 2 years’ experience in billing, auditing and collecting on third party claims and patient balances.Working knowledge of all insurances types and guidelines, including the ability to read and interpret EOB’s.Working knowledge of ICD 9’s and CPT4 required.Ability to access, input, and retrieve information from a computer (keyboard skills 30-40wpm). Medical software program experience required. Excel a plus.Knowledge of office procedure and office machines (i.e. computer, fax, copier, etc.).High level of listening skills. Ability to communicate accurately and concisely; must be able to explain procedures in an understanding manner.Aptitude to work independently and demonstrate good judgmentMust be able to work overtime as needed and some holidays.
