Financial Service Coordinator

Stamford Health•Stamford, CT

72d

About The Position

This role is responsible for managing the financial aspects of patient care within the revenue cycle. Key duties include following up on unpaid claims, updating receivable systems, pre-certifying treatments, verifying eligibility and benefits, processing financial assistance applications, and counseling patients on their financial responsibilities. The position requires a strong understanding of billing, coding, and various software systems used in healthcare financial management.

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.
Self-disciplined & organized, and able to complete work and monitor accounts independently with minimal daily supervision.
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.
Completes required continuous training and education, including department specific requirements.

Nice To Haves

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

Responsibilities

Demonstrates understanding of the revenue cycle.
Performs follow up of claims, maintains files, and contacts appropriate parties to determine the 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 the resolution of receivable accounts, and ensures 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.
Ensures eligibility and benefits are properly verified prior to initial visit and thereafter as directed.
Makes daily manual deposits as needed and balances credit card machines with other deposits as required.
Pre-registers patients and demonstrates the ability to have meaningful discussions of benefits with patients when pre-registering in Meditech or Epic, and when present in the department.
Performs patient financial counseling, evaluates care plans, communicates with patients, and sends cost estimates to patients to establish payment expectations based on individual insurance benefit plans.
Learns quickly and demonstrates 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 ensures 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 the highest level of value to the 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 ensuring patient confidentiality is not breached.
Has some familiarity with electronic billing, edits, 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.