Patient Financial Services Coordinator (FT) 0PF01

Description: POSITION: Patient Financial Services (PFS) Coordinator
PVH employment application required. All job offers contingent upon background check and completion of pre-employment physical.
This position is full time, 40 hours/week
Job FunctionsSECTION 1: GENERAL MAJOR DUTIES AND RESPONSIBILITIES:

• Professionalism and Compliance:
• Maintains a professional appearance and adheres to the company dress code and code of conduct.
• Ensures patient confidentiality and adheres to all Federal and State regulations.
• Reports to work on time and as scheduled, wearing proper identification.
• Completes annual education requirements and attends annual performance reviews.
• Actively participates in performance improvement initiatives.

• Communication and Collaboration:
• Possesses strong written and verbal communication skills in English to effectively collaborate with colleagues across departments.
• Build positive working relationships with staff, departments, and providers.
• Represent the organization professionally and positively.

• Technical Skills and Knowledge:
• Proficient in hospital billing software systems, Microsoft Office Suite, and other relevant software programs.
• Possesses in-depth knowledge of hospital revenue cycle processes, best practices, and compliance regulations.
• Utilizes excellent analytical and problem-solving skills to identify and resolve complex issues.

SECTION 2: SPECIFIC MAJOR DUTIES AND RESPONSIBILITIES

• Leadership and Oversight:
• Lead and coordinate activities of PFS staff, ensuring timely and efficient completion of tasks.
• Oversee all revenue cycle day-to-day functions in the Director's absence.
• Participate in various meetings to collaborate on process improvement, address challenges, stay informed, and contribute valuable insights.

• PFS Operations:
• Run necessary reports as needed to monitor and analyze PFS performance metrics, such as Aging Transaction Balances and Unbilled reports.
• Close out daily financial activities, ensuring accuracy and completeness.
• Conduct regular tasks, such as rejecting zero-balance accounts weekly and posting employee benefit write-offs in hospital billing systems.
• Contribute to intradepartmental audits.

• Credit Balances:
• Manage strategies to resolve credit balances efficiently and accurately.
• Proactively work to minimize the occurrence of future credit balances.

• Administrative Adjustments:
• Independently resolve administrative adjustments in accordance with policy.
• Analyze the root cause of administrative adjustments and implement corrective actions to prevent recurrence.
• Log and track all administrative adjustments in relation to the root cause.

• PFS Book of Knowledge (BoK) Management:
• Disseminate relevant health plan news and alerts to PFS staff and applicable hospital staff.
• Archive outdated information within the BoK to maintain an accurate and up-to-date knowledge base.
• Collect information from all PFS staff to ensure the BoK remains current and relevant.

• Transaction Responsibilities:
• Manage and reconcile transaction discrepancies to ensure accurate financial records.
• Oversee the following duties:
• Deposit and mail processing: Retrieving and processing departmental mail, reviewing accounts, entering payment information, copying and scanning checks, reconciling deposits, and preparing deposit slips.
• Posting payments from insurance and remittance receipts.
• Posting credit cards and payroll deductions.
• Running and processing small balance write-offs weekly.

• Collections and Bad Debt:
• Oversee the following duties:
• Pre-collection activities to ensure reasonable efforts are exhausted prior to placement.
• Collection agency recalls.
• Patient billing escalations.

• Oversee Rural Health Clinic (RHC) Claims Management
• Ensure the accurate and timely submission of RHC claims to payers, including Medicare, Medicaid, and commercial insurers.
• Monitor claim status, identify and resolve claim denials and errors, implement corrective actions, and manage RHC charge capture and reconciliation processes to maintain accurate revenue cycle management.
• RHC Regulatory Adherence: Stays current on RHC reimbursement regulations and industry best practices.

• Performs other tasks as appropriate:
• Providing backup coverage for PFS staff.

Quality Improvement: Actively participates in the Hospital-wide Quality Improvement Program, actively supports and implements Department-specific Quality improvement initiatives and projects, recommends process improvement as appropriate, reports any quality issues in service delivery and consistently commits to a focus on quality improvement and organizational excellence.

Disaster Management: As an employee of Penobscot Valley Hospital, the position has an inherent role to care for our community members when in need. To this regard, the incumbent will be expected to participate in emergency/disaster preparedness planning and drills as requested. When called upon during a When called upon during a real life disaster/emergency event, the incumbent w real life disaster/emergency event, the incumbent will be expected to participate in the Hospital’s ted to participate in the Hospital’s response to this event, within the scope of professional and personal ability to do so.

Requirements:

Bachelor’s or Associate’s degree (preferred); alternative certificates with relevant experience may be considered. At least 3-5 years of experience in healthcare billing and revenue cycle management. Strong understanding of healthcare billing and coding principles (ICD-10, CPT, HCPCS).

Benefits

PVH has a Section 125 Cafeteria Benefits Plan and pays a portion of the cost of our health plan, dental, basic life, and disability insurance for employees for 30 authorized hours, and provides partial subsidy for dependent health insurance. Part-time employees are eligible to receive dental, life, and disability coverage and are eligible to participate in the health insurance plan. Other benefits include a 403(b) plan and earned time off accrual.