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Financial Access Business Coordinator

Company: Valley Medical Center
Location: Renton
Posted on: May 3, 2021

Job Description:

Job Description Financial Access The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Financial Access Business Coordinator JOB OVERVIEW: This position is responsible for compiling and disseminating complete, accurate and consistent information regarding payor policy or procedure changes and/or other information that could affect reimbursement to operations affected. Responsible for training curriculum development and deployment regarding payor policy and/or procedure changes to all staff areas affected. This position will perform and direct other duties necessary for the daily operation of the Financial Advocacy department. All functions must be accomplished while operating within the guidelines of Federal and State agencies as well as within the confines of contractual agreements with insurance companies. AREA OF ASSIGNMENT: Financial Access HOURS OF WORK: Typically, days Monday - Friday RESPONSIBLE TO: Director, Financial Access PREREQUISITES: * Associates degree in a related field * 5 or more years of work experience in healthcare preferably with a patient financial services or patient access background * Extensive knowledge of payer eligibility, authorization and reimbursement principles. * Demonstrated strong ability to communicate effectively in writing and verbally in the English language. Effective communication includes the ability to spell accurately and write legibly * Knowledge of Excel, Word, and Outlook must be at an advanced level * EPIC knowledge and experience QUALIFICATIONS: * Demonstrates ability to communicate in writing and verbally in the English language in an effective manner. * Ability to set priorities, produce accurate work and process all work tasks in a timely, comprehensive manner. * Knowledge of claim submission, insurance follow-up, charge capture / entry and state and federal regulations as they relate to healthcare HIPAA and billing requirements. * Excellent organizational skills, including the ability to function in a setting with a wide variety of duties and numerous interruptions. * Demonstrated experience in patient access revenue cycle management (i.e., payer plans, authorization, eligibility requirements, billing and collection requirements whether managed care, fee for service, or government-sponsored plans). * Ability to perform functional assessments of departmental processes, recommend improvements and operational changes in policies and procedures. * Ability to interact professionally and effectively with a wide variety of people, including operations staff, providers, the general public, and departments in Valley Medical Center. * Must possess ability to work independently and take initiative in problem solving. * Neat, well-groomed, professional appearance. * Requires manual and finger dexterity and vision corrected to normal range. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS: See Generic Job Description for Administrative Partner. PERFORMANCE RESPONSIBILITIES: A. Generic Job Functions: See Generic Job Description for Administrative Partner. B. Essential Responsibilities and Competencies * Collaborates with IT and Financial Access Leadership on development of workflows and Training in Practice (TiPs) training documents. * Ensures regulatory compliance and JCAHO standards are reflected in all department policies and procedures. * Reports to the Director weekly for review of the status of operations and key performance indicators. * Responsible to review incoming payor bulletins to educate staff about new or changing contractual and regulatory requirements for all payers. * Maintain current knowledge of insurance plan updates to ensure that bills produced are compliant with Medicare, Medicaid and other payer billing requirements. * Ensures VMC's billing activities comply with corporate, federal, and state fraud and abuse control programs. * Reviews and updates work processes to stay consistent with change and monitors staff on comprehension of changes, and training needs. * Responsible to resolve payor eligibility and benefit issues for staff and management. * Collaborates with Revenue Cycle departments, PFS, HIM, UM, and IT regarding database management issues. * Works with the IT Department and the PFS System Administrator to resolve system issues and implement system upgrades. * Responsible to identify and report technical issues to IT for resolution. * Responsible to implement process or quality improvement solutions. * Represents Financial Access at meetings, both internal and external as requested. * Assists in development and measurement of performance feedback information (e.g., edit and denial volumes, collection rates, etc.). * Develops policies, procedures, and training materials related to responsible areas. * Monitors staff on comprehension of, and training needs regarding, compliance of HIPAA, Medicare/Medicaid, and other third-party payers and regulatory agencies. * Regularly reviews DNB and dashboard metrics to identify potential areas of delayed or lost revenue, and addresses areas of concern. * Maintains confidentiality of all protected health information. * Completes additional projects and duties as assigned. Created: 6/20 Grade: NCNM24 FLSA: E CC: 8560 Job Qualifications: PREREQUISITES: * Associates degree in a related field * 5 or more years of work experience in healthcare preferably with a patient financial services or patient access background * Extensive knowledge of payer eligibility, authorization and reimbursement principles. * Demonstrated strong ability to communicate effectively in writing and verbally in the English language. Effective communication includes the ability to spell accurately and write legibly * Knowledge of Excel, Word, and Outlook must be at an advanced level * EPIC knowledge and experience QUALIFICATIONS: * Demonstrates ability to communicate in writing and verbally in the English language in an effective manner. * Ability to set priorities, produce accurate work and process all work tasks in a timely, comprehensive manner. * Knowledge of claim submission, insurance follow-up, charge capture / entry and state and federal regulations as they relate to healthcare HIPAA and billing requirements. * Excellent organizational skills, including the ability to function in a setting with a wide variety of duties and numerous interruptions. * Demonstrated experience in patient access revenue cycle management (i.e., payer plans, authorization, eligibility requirements, billing and collection requirements whether managed care, fee for service, or government-sponsored plans). * Ability to perform functional assessments of departmental processes, recommend improvements and operational changes in policies and procedures. * Ability to interact professionally and effectively with a wide variety of people, including operations staff, providers, the general public, and departments in Valley Medical Center. * Must possess ability to work independently and take initiative in problem solving. * Neat, well-groomed, professional appearance. * Requires manual and finger dexterity and vision corrected to normal range.

Keywords: Valley Medical Center, Renton , Financial Access Business Coordinator, Other , Renton, Washington

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