Patient Financial Coordinator II (Biller/Collector)

Patient Financial Coordinator-Biller/Collector

Job Title: Patient Financial Coordinator – Biller/Collector

Department: Patient Financial Services

Reports To: Business Office Supervisor

FLSA Status: Non-Exempt

Grade:

Prepared By: Director of Patient Financial Services

Revised: August 2021

Summary:

The Patient Financial Coordinator assumes the responsibility of coordination of billing and collection functions in accordance with state, federal and local regulations.

Essential Duties and Responsibilities:

• Daily Transmission/Mailing of Electronic and Paper Claims

• Mail Paper Claims and Submit online claims

• Review and Correct Denied or Failed Claims
• Communicate Denied and Failed reasons with Business Office team

• Daily Collections of Aged Accounts Receivables

• Utilization of Web Portals for claim status and payment information
• Contact payers for claims status or to follow up on denials or partial payments
• Document all collections notes in the Patient Account
• Perform charge entry activities as required
• Collections Efforts Include but are not limited to:

• Daily review of outstanding claims and patient balances
• Work financial reports and assigned work lists to target all claims
• Rebill claims as requested
• Correct issues resulting in non-payment
• Appeal and request Redeterminations on unfounded denials
• Adjust Billing Errors
• Identify and create solutions for system and process issues
• Review Credit Balances and Refund Requests
• Daily processing of Mail Correspondence

• Answer patient calls and questions regarding statements and balances
• Answer emails in a timely manner
• Provide support to Clinic Staff regarding Patient Copays, Co-Insurance, Deductibles, Balances, Credits
• Answer Business Office phone calls
• Work Special Projects assigned by Billing Manger
• Work Independently
• Training and Cross Training is a daily expectation of your work
• Provides the highest quality of care to our patients by complying with Medina Healthcare System policies and procedures.
• May be required to work beyond normal scheduled shifts.
• Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
• Knowledge of CPT, medical codes

Qualifications

Qualifications:

• High School diploma or general education degree (GED); or a combination of experience/education
• 2 years Medical Billing and/or Collections experience in a medical facility preferred.
• Knowledge of billing software programs
• Knowledge of governmental insurance plans (Tricare, Medicare, Medicaid) and commercial insurances (PPO, HMO, EPO, HRA, etc.)