Financial Service Coordinator

Stamford Health•Stamford, CT

About The Position

The Financial Service Coordinator demonstrates understanding of the revenue cycle and performs follow-up of claims. This role involves maintaining files, contacting appropriate parties to determine the status of unpaid accounts, and processing assigned patient accounts until paid in full, managing accounts receivable for professional service billing. The coordinator will update the receivable system with pertinent information and ensure proper follow-up details are recorded in systems like GE Centricity, Meditech, and/or Epic. They will also understand and apply requirements for pre-certification of chemotherapy drug regimens and verify eligibility and benefits prior to initial visits. Additional responsibilities include making daily manual deposits, balancing credit card machines, pre-registering patients, and having meaningful discussions about benefits. The role involves performing patient financial counseling, evaluating care plans, communicating cost estimates, and learning various software programs. The coordinator will assist physicians in determining approved regimens, demonstrate knowledge of coding (ICD-10, CPT, HCPCS), and apply departmental processes for financial assistance programs, including knowledge of the No Surprises Act and assistance for patients with inability to pay. They will also demonstrate knowledge of drug replacement programs and other cancer-related patient support options, processing applications to capture maximum value. The position requires providing timely and accurate information to other departments while ensuring patient confidentiality. Familiarity with electronic billing, remittance advice, payment posting, and claim appeals is expected. Other related duties as assigned are also part of the role.

Requirements

Demonstrates a high degree of honesty, integrity and accountability
Is self-disciplined & organized, and able to complete work and monitor accounts independently with minimal daily supervision.
Completes required continuous training and education, including department specific requirements.
Demonstrates professional work behavior and excellent customer services skills at all times by following Stamford Health’s code of Conduct and Service Standards.
Demonstrates strong interpersonal and verbal/ written communication skills.
Complies with departmental organizational policies and procedures and adheres to external agency requirements.
High School diploma or equivalent required
A high degree of computer literacy in a PC environment is required, including Microsoft office products.
Previous EMR / PM system experience required.

Nice To Haves

Bilingual preferred but not required.
some college or business school training preferred.
Five (5) or more years prior equivalent experience in a business setting is preferred.

Responsibilities

Demonstrates understanding of the revenue cycle.
Performs follow up of claims. Maintains files and contacts appropriate parties to determine correct status and follow up of unpaid accounts.
Processes and follows up on all assigned patient accounts until paid in full, managing accounts receivable for professional service billing.
Updates receivable system with any new, corrected or pertinent information in relation to resolution of receivable accounts, and insures that proper information for follow up is shown in GE Centricity, Meditech and/or Epic, as appropriate.
Understands and accurately applies requirements for pre-certification of chemotherapy drug regimens; pre-certifies treatments as indicated by government and private insurers.
Insures eligibility and benefits are properly verified prior to initial visit and thereafter as directed.
Makes daily manual deposits as needed. Balances credit card machines with other deposits as required.
Pre-registers patients. Demonstrates ability to have meaningful discussion of benefits with patient when pre-registering in Meditech or Epic, and when present in the department.
Performs patient financial counseling. Evaluates care plans and communicates with patient, sends cost estimates to patients to establish payment expectations based on individual insurance benefit plans.
Is able to learn quickly and demonstrate proficiency with various software programs, including Meditech and GE Centricity, Epic and other applications as required.
Assists physicians in determining approved regimens for treatment. Familiar with NCCN, FDA and Medicare guidelines and insures that regimens are approved according to same.
Demonstrates knowledge of coding for ICD-10, CPT and HCPCS.
Applies department processes for non-profit, community, pharmaceutical, federal, state and health system financial assistance programs. Demonstrates knowledge of Federal and State requirements for the No Surprises Act and assistance for patients with inability to pay.
Demonstrates knowledge of drug replacement programs, grant programs, co-pay foundation programs and other cancer-related patient support options. Processes and monitors applications and captures highest level of value to patient and institution.
Provides timely and accurate information regarding patient data/status to other health system departments, physicians, physician office staff, nursing, pharmacy, and public agencies while insuring patient confidentiality is not breached.
Has some familiarity with electronic billing, edits, and claim submission and processing electronic remittance advice, posting payments, and claim appeals.
Performs other related duties as assigned or requested in order to maintain a high level of service.