Accounts Receivable Coordinator

Work Schedule/Days:  Day / Monday - Friday
Employment Type:  Full-Time
Location:  Support I 
Requisition #:  52176

 

JOB SUMMARY

Acts as liaison between Patient Accounting and Risk Management, Revenue Cycle leadership, Physician Practices directors, and service line leaders regarding accounts receivable activities and issues. Researches issues and concerns raised by patients, parents, and caregivers, providing explanations and solutions as appropriate and coordinating with other internal resources as needed. Serves as Patient Accounting subject matter expert on both departmental and systemwide projects, task forces, and teams. Supports information system testing and problem-solving as needed, coordinating activities with Revenue Cycle, Information Systems & Technology, and other department resources as requested.

EDUCATION
  • Associate's degree or coursework towards a 4-year degree
CERTIFICATION SUMMARY
  • No professional certifications required
EXPERIENCE*
  • 5 years of experience in patient accounting
  • Experience in working with provider patient accounting information systems
PREFERRED QUALIFICATIONS*
  • College degree
  • Experience in a pediatric provider setting offering advanced services
  • Experience in Epic hospital and professional applications (e.g., Resolute, Prelude, and/or Cadence)
  • Experience in data reporting and analysis within provider patient accounting systems
KNOWLEDGE SKILLS & ABILITIES*
  • Working knowledge of hospital and physician office practices, managed care arrangements, patient accounting, and billing
  • Knowledge of managed care and governmental payor contracts and fee schedules with demonstrated ability to interpret contracts to determine reimbursement variances
  • Familiarity with medical terminology and working knowledge of diagnosis and procedural hospital and physician codes
  • Excellent organization, communication, and interpersonal skills
  • Strong customer service/resolution skills within a healthcare provider setting, including ability to communicate detailed information regarding both healthcare services and insurance/payor coverage and payment terms
  • Strong personal computer skills, e.g., Microsoft Excel, Word, and PowerPoint
  • Excellent analytical, critical thinking, and problem-solving skills
JOB RESPONSIBILITIES*
  1. Provides analysis of collection efforts for hospital and professional fee charges, identifying and working to resolve any issues.
  2. Researches complex claims issues and helps resolve, working with insurance representatives and patients and/or guarantors as needed.
  3. Provides support to Customer Service Representatives and Risk Management/Patient Representatives in resolving complex billing issues.
  4. Identifies payor denial trends and communicates issues, trends, and outcomes to leadership and staff in appropriate areas.
  5. Monitors and provides summary-level reporting to system leadership regarding critical functions of the area.
  6. Meets with leaders in Managed Care department and various managed care organizations as needed to improve customer resolution and/or collection efforts within the department.
  7. Evaluates current work processes and makes recommendations for continuous quality    improvement.
  8. Provides operational feedback to Access, Utilization Review, Case Management, Patient Financial Services, and operational departments to reduce denials.
  9. Reports and analyzes denial data.
  10. Determines resolution to denial via billing, collection, access issue, or other means as appropriate.
  11. Supports and participates in the continuous assessment and improvements of the quality of care and service provided.
  12. Performs other duties and responsibilities as required.
SYSTEM RESPONSIBILITIES*

Safety: Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system.

 

Compliance: Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility. Identifies potential risk areas within area of responsibility and supports problem resolution process. Maintains records of compliance activities and reports compliance activities to the Compliance Office.

 

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification.  They are not intended to be an exhaustive list of all job duties performed by the personnel so classified.

PHYSICAL DEMANDS* Ability to lift up to 15 lbs independently not to exceed 50 lbs without assistanceBending/Stooping - Occasionally (activity or condition exists up to 1/3 of time)Climbing - Not PresentHearing/Speaking - Effective communication with employees, supervisors/managers and staff. Effective communications with patients and visitors, as required.Lifting - Occasionally (activity or condition exists up to 1/3 of time)Pushing/Pulling - Occasionally (activity or condition exists up to 1/3 of time)Sitting - Frequently (activity or condition exists from 1/3 to 2/3 of time)Standing - Occasionally (activity or condition exists up to 1/3 of time)Walking - Occasionally (activity or condition exists up to 1/3 of time)WORKING CONDITIONS* No potential for exposure to blood and body fluids

 

Address:  1575 Northeast Expressway, Bldg 1, Atlanta, GA  30329 
Function:  Revenue Cycle - Patient Financial Services

Posted
09/24/2020
Salary Range
$36,000.00 - 54,000.00
per Year
Salary range estimated by
Location
Atlanta, GA 30329, US