COORD- ACCOUNTS RECEIVABLES

United Regional•Wichita Falls, TX

3d•Onsite

About The Position

This position oversees and manages all A/R staff team members and coordinates A/R Department tasks under the direction of the Business Office Manager & Director to ensure daily work processes are completed. The role requires staying current with all non-government Billing and Reimbursement regulations, as well as claim filing rules for all other payers. The individual ensures contracted payers abide by reimbursement agreements by staying abreast of payer guidelines and changes. They investigate unidentifiable payments with the help of an A/R Specialist, ensuring proper application and/or refund. A key responsibility is the overview of monthly reports for all non-governmental and facility aging, identifying problem areas, and notifying the Business Office Manager of issues. This role is capable of working multiple job positions and assists for PTO and vacant positions as needed within the Business Office. The position prepares monthly denial reports for denial management meetings and seeks ways to reduce denials. It also oversees the management of employee payroll deduction and refunds, and follows legal guidelines and hospital policy on cashier functions, bad debts, bankruptcies, crime victims, facilities, liens, and insurance payments. The role negotiates discounts with non-contracted payors and/or attorneys following Business Office policies. Additionally, the position is required to complete monthly rounding and yearly employee evaluations. The duties of this position are not limited to the job description and can be changed by management when deemed necessary.

Requirements

High school diploma or GED is required
Must be able to communicate effectively in English both verbally and in writing
Minimum of 2 years related experience required.
Must have knowledge in all areas of insurance claims with emphasis on understanding of revenue code, CPT codes, and surgical procedure codes.
Knowledge in non-governmental claim filing requirements and reimbursement rules.
Basic mathematical knowledge including understanding of debits and credits.
Contributes to a team concept for maximum effectiveness and productivity
Must be able to prioritize tasks according to oral and written instructions.
Tact, diplomacy, and perception required in daily contact with co-workers, patients and third-party payers.
Demonstrates professional aggression, patience, tact, persistence and the ability to convey job functions to new hires.
Must be able to prioritize work according to oral and written instructions using organizational skills and sound judgement.
Must be able to tolerate ambiguity, flexibility, and adaptability to progressive change
Requires good time management skills and attention to detail.
Requires the use of office equipment such as computer terminals, telephones, 10-key adding machine, and credit reporting machine, fax machine.
Above average knowledge in Excel and Word.

Responsibilities

Oversight and management of all A/R staff team members.
Coordinate A/R Department tasks under Direction of Business Office Manager & Director to ensure daily work processes are completed.
Keep current with all non-government Billing and Reimbursement regulations as well as claim filing rules on all other payers.
Ensures contracted payers abide by reimbursement agreement by keeping abreast of payer guidelines and changes.
With help of A/R Specialist investigates unidentifiable payments and ensures proper application and or refund.
Performs overview of monthly reports for all non-governmental and facility aging and identifies problem areas. Notifies Business Office Manager of issues.
Capable of working multiple job positions and assists for PTO and vacant positions as needed within the Business Office.
Prepares monthly denial reports to present and report to denial management meetings as well as looks for ways to reduce denials.
Oversees the management of employee payroll deduction and refunds.
Follows legal guidelines and hospital policy on cashier functions, bad debts, bankruptcies, crime victims, facilities, liens and insurance payments.
Negotiates discounts with non-contracted payors and or attorneys following Business Office policies.
Required to complete monthly rounding’s and yearly employee evaluations.
Identifies and alerts Business Office Manager and Director of Billing issues.
Reviews and reports on Monthly Aging for all non-governmental and facility payors to Manager.
Assigns and ensures Daily work processes are completed by A/R staff.
Ensures claims are filed, appropriate follow-up is taken, and payments received through reporting & claim aging reports.
Works closely with HB and PB Billing coordinators on payer audits to ensure accuracy and provides reporting for YTD results.
Ongoing and as needed research and reporting on non-governmental claim issues.
Ensures knowledge of changes from non-governmental payers by reading multiple communication pathways such as paper newsletters, e-newsletter, updates from payers on individual claims and researching internet information for each payer.
Work with Manager to address staff education on any changes or new processes with an emphasis on high priority issues.
Develops a working relationship with Patient Access, Medical Records and Case Management for review of non-governmental claims.
Active participant in Admitting, Billing, and Collection Monthly Meeting.
Reviews department productivity with Manager on a monthly basis and aids in developing ways to improve.
Performs all other tasks/responsibilities as necessary.