Description

JOB TITLE: BILLING COORDINATOR

MAIN FUNCTION:

Under the direction of the System Director of Patient Accounting and the Systems Billing Supervisor, the Systems Billing Coordinator is responsible for supporting the Soarian's Revenue Cycle Solution and its end users.

DUTIES AND RESPONSIBILITIES:

1) Works with immediate supervisor and billers to coordinate daily revenue cycle functions.

2) In collaboration with immediate supervisor and billers, analyzes daily/weekly workflows to maximize the efficiency and effectiveness of the revenue cycle solution.

3) Assists in training on revenue cycle applications as needed.

4) Helps troubleshoot and resolve any processing / operating problems or issues within the Revenue Cycle.

5) Processes and bills primary and secondary inpatient or outpatient accounts through required systems as assigned. Sends adjusted billing when needed (Late Charges, Other Insurance Primary, etc.)

6) Reviews system generated claims for electronic submissions using SSI Group software claim scrubber.

7) Must maintain Soarian Revenue Cycle Work List which includes

a. Billing EBEW Worklist

I. Diagnosis coding

II. CCI & OCE Edits

III. Billing Codes

IV. Insurance / Payer Information

V. Subscriber and Guarantor

b. Remittance Discrepancy Work List

c. Follow Up Discrepancy Work List

d. Denial Work List

e. Credit Balance Work List

8) Reviews daily payments, processes any necessary allowances or adjustments.

9) Reviews credit balances for overpayment or adjustment - Refunds are done timely.

10) Maintains up to date knowledge of any new billing procedures or requirements (DRG reimbursement changes, payer regulation changes, etc) to include updating manuals as needed.

11) Handles any correspondence including rejections on a timely basis.

12) Performs daily follow up on inpatient or outpatient accounts with insurance for disposition of accounts not paid within reasonable amount of time, to include denials. Document found information in Revenue Cycle System. Performs any rebilling necessary

13) Interacts and works closely with other departments of the Medical Center.

14) Answers telephone calls in polite and professional manner - Relays necessary messages to Director, Supervisor or Billing Clerks.

15) Keeps Director informed of all work performed.

16) Supports the billing function of an area experiencing backlog or lack of personnel.

17) Maintains a working knowledge of all billing functions, procedures and regulations. Communicates/educates staff on such issues and establishes and implements controls to insure appropriate daily submission of billings.

18) Provides direction, coordination and maintenance of billing processes/procedures, and policies/procedures. Assures billing system produces prompt, accurate, compliant bills in the most efficient operation.

19) Researches problems relating to patient accounts, including working with other departments concerning billing issues and late charges.

20) Is responsible for attending all annual mandatory education programs as required by position.

21) Employee understands and demonstrates the importance of satisfying the needs of the customer/patient by interacting with him/her in a friendly and caring way, being attentive to the customer's needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience with the Arnot Health.

22) It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties, which may be assigned.

EDUCATION:

High school diploma or equivalent.

EXPERIENCE:

A minimum of one year in an appropriate field.

CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS:

No CPR required.

PHYSICIAL DEMANDS:

Light physical effort, typical office job. Works in comfortable positions. Flow of work intermittent.

EXPOSURE CATEGORY:

Category III. Tasks that involve no exposure to blood, body fluids, or tissues. Category I task are not a condition of employment