Payer Receivable Coordinator

Job Title:

Payer Receivable Coordinator
Department:
Patient Accounting

Location:

Riedman Campus
Hours Per Week:
Full-Time

Schedule:

M-F, Day (Either 7.00 AM to 3.30 PM or 8.00 AM to 4.30 PM)

Assists Leadership in overseeing the daily operations of the billing team. Assists in managing team members by assigning and monitoring work to meet department goals. Monitors and analyzes assigned area of receivable to identify trends and improve workflows to maximize collections.

• Assists Supervisors/Managers in overseeing the daily billing operations
• Assists Supervisor in supporting new, temporary, and outsourced staff
• Provides feedback to Supervisor on team issues and performance
• Interacts with various departments such as HIM, Revenue Integrity and FERC to obtain information and resolve billing issues
• Coordinate timely and accurate completion of special billing projects identified by leadership to achieve department goals.
• Working knowledge of payer contracts and reimbursement methodologies
• Crosstrain on multiple billing platforms as needed
• Research and respond to internal and external questions in a professional way
• Identify potential billing compliance issues and inform leadership team
• Assist in coordination and implementation for new services, (new MD practices, hospitals, service lines etc)
• Participate in committees focused on process improvement

• Proficient working knowledge of assigned receivable systems
• General knowledge of Medicare, Medicaid and insurance compliance issues preferred
• Familiarity with ICD-9 diagnosis and procedure codes as well as CPT/HCPCS codes helpful
• Knowledge of UBO4 billing form and 1500F05 specific payor requirements preferred
• Proficiency in a variety of computer applications and Microsoft office (Excel, word, PowerPoint, etc.) and common office equipment
• Excellent problem solving, organizational and oral and written communication skills required
• Excellent email and project management skills. Candidate must have the ability to multi-task and work in a fast paced setting, that sometimes requires direction on what items should be addressed as priority.
• Excellent interpersonal, organizational, communication, attention to detail and follow through skills
• Flexibility and ability to work as a team player and to handle simultaneous tasks
• Successful completion of annual age and job specific competencies and skill verification tools required
• Analytical and problem solving skills are required

• 1 year of related work experience in a healthcare setting or customer service

N/A

Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran

S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

$19.00 - $25.00