What are the responsibilities and job description for the Medical Services Reimbursement Coordinator position at LifeLink Foundation, Inc.?
We Are LifeLink…
Our Vision is to maximize the gift of life while giving hope to donor families and transplant
patients. Our Mission is to honor donors and save lives through organ and tissue donation.
Our Values are: Compassion. Excellence. Legacy. People. Quality.
Why choose LifeLink? We offer the following:
- Amazing culture since 1982
- Company paid Medical, Dental, Disability & Life Insurance
- Generous company paid Pension Plan for your Retirement
- Paid Vacation, Sick Days & Holidays
- Encouraging career track
- Fitness Membership Reimbursement
…much more!
Summary:
In accordance with established LifeLink Foundation policies and procedures, and under the direction of the Manager of Medical Services Reimbursement, this position will review, facilitate, and coordinate all responsibilities and functions of OPO assigned ancillary charges, transportation charges, organ recovery billing, re-billing, documentation and hospital and/or transplant center communications/interactions. Reviewing all details of related donor service invoices, allocating to appropriate cost centers, while meeting multiple deadlines.
Responsibilities:
1. Review and Audit of ancillary donor charges and transportation costs to ensure:
- Dates of service are the responsibility of LifeLink and that charges are supported by the medical record.
- Charges billed were administered, coded and documented appropriately.
- Discounting of approved charges will be in accordance with LifeLink approved discounting methodology where applicable.
- Work with appropriate LifeLink staff in order to research any questionable charges.
- Ensure that all deadlines are met.
2. Assist with processing hospital bills:
- Data entry of Hospital Bill into HBR system.
- Assist with reimbursement tables for hospital bills are updated annually with current cost to charge ratios, Medicare or contracted flat rates.
- Assist with vendor in cases where denied claims are appealed. Review additional medical documentation supplied by the vendor and work with appropriate OPO staff to determine if additional payment should be made.
- Assist with timely follow up on the receipt of hospital bills.
3. Process OAC Billing for OPO’s as designated and ensure the following:
- Coordinate with Accounts Receivable, OPO and QA personnel on any OAC billing issues.
- Assist the Accounts Receivable Coordinator with researching collection issues.
- Maintain documentation on all aspects of billing to include copying, filing, reporting, etc.
- Validate that all OAC billing is complete and accurate.
- Ensure all deadlines are met.
4. Ensure that all required customer documentation is obtained for new customers.
5. Participates in internal and external audits with the Finance and Accounting Department as needed.
6. Participates in policy development, annual policy review and updates.
7. Responsible for providing timely and a high level of customer service to all medical service providers and donor families.
8. Other related responsibilities and projects, as requested by Manager.
Requirements:
- - 2-3 years of healthcare billing experience preferred including knowledge of medical/hospital charges and CPT coding. Experience in a transplant environment is a plus.
- Proficient data entry skills.
- Familiarity with basic accounting functions.
- Experience and proficiency with Microsoft Office.
- Professional verbal communication skills.
- Bi-lingual a plus (English/Spanish).
- Ability to maintain confidentiality and privileged information.
- Ability to meet deadlines and work under pressure due to time constraints.
- Strong inter-personal skills necessary to work with providers, donor families, and staff.
- High School Diploma or equivalent required.
- Ability to occasionally lift, carry and/or move equipment up to 30 pounds.
Working Conditionsx:
Pleasant and comfortable working environment. Routinely works customary hours, although deadlines may require extended working hours.
OSHA Risk Classification: Low
Disclaimer:
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
