Perspective Health & Wellness Financial Coordinator - Atrium Health - SouthPark - FT

Overview

Job Summary

Performs duties of moderate complexity, judgement, and scope in coordinating and managing all aspects related to insurance benefit information, authorization, billing and collections for all types of services. Will serve as a resource to patients and their families, clinical staff, physicians and insurance companies.

Essential Functions

• Coordinates and manages the billing and collection functions for all payor types.
• Notifies physician offices of contract periods, identifies and monitors accounts, determines correct reimbursement, bundles all bills for submittal to insurance companies, rebills claims as necessary, followings up on claim status, performs regular account maintenance, collects and distributes payments appropriately.
• Researches insurance benefits, options and potential patient financial needs and discusses findings with patients and their families.
• Develops a financial plan with patients and their families.
• Works with patients and develops resolutions to potential patient financial out-of-pocket exposure and helps them plan and overcome these obstacles.
• Obtains all necessary payer authorizations.
• Verifies and monitors coverage and other medical benefits and acquires necessary referrals and authorizations.
• Ensures that all payor approvals are current at all times.
• Collecting and managing all membership fees, individual patient invoices – making sure they are all paid on time based off contracts
• Collecting and managing corporate or employer-based invoices & accounts – making sure they are paid on time based off contracts.
• Building & Maintaining positive relationships with patients & corporate partners
• Handling all deposits for Perspective Health & Wellness departments
• Handles all EHE reconciling of exams, charges and capturing payments and documenting weekly
• Ensuring that all charge review work queues are cleared or up to date on a weekly basis for all Perspective Health & Wellness departments
• Handling any patient billing questions insurance or cash-based
• Communicating with the clinical team to capture all executive patients
• Reviewing financial Reports and maintaining the Internal Dashboard for our service line
• Develops deliverables and reports in a logical, clear, and concise manner for leadership
• Taking initiative to provide new ways to ensure we are capturing revenue efficiently
• Reviewing Comparative Operations statement and pull-out financial data as needed
• Seeks educational opportunities internally for growth in the financial world of healthcare

Physical Requirements

 

Mobility required. Majority of the day spent sitting. Must be able to lift up to 5 lbs of patient charts. Work requires stretching to file or retrieve charts or manuals. Must be able to communicate with other groups and departments.

Education, Experience and Certifications

Bachelor’s Degree in Accounting, Finance or related field required.
Minimum 3 Years Customer Service or Business Office Experience - Health Care Preferred.
Must be able to work independently and possess strong organizational, time management and interpersonal skills and be able to prepare and analyze financial reports.
Ability to analyze data at a high level.
Able to communicate clearly and concisely with teammates, upper leadership, outside corporate contacts
Organizational and Time Management skills required - must be able to stay on task and deliver work in a timely manner
Charge Capture/Coding/Professional Billing experience necessary
Must be proficient with medical terminology and be familiar with clinical considerations as these relate to transplant cases. Extensive analytical skills and focus on details. Excellent written and oral communication skills required. Microsoft Excel, Word, STAR and IDX experience required.
Databases, hospital registration, billing and clinical systems preferred.