Patient Revenue Coordinator

Central Louisiana Surgical Hospital•Alexandria, LA

23h•Onsite

About The Position

Ensures all operations relating to patient revenue are functioning accurately and timely for proper generation and submission of claims and proper payment of claims by payers.

Requirements

Five years’ experience in hospital revenue billing with a Bachelor’s degree or 7+ years equivalent experience.
Knowledge of Medicare, Medicaid, and other Governmental & Commercial claim requirements.
Knowledge of State and Federal regulations related to claims preparation and submission.
Experience with robust, hospital billing and claims processing software (Examples: McKesson Paragon, Epic or CPSI).
Strong computer skills and excellent communication skills.
Evidence of the ability to focus on details.

Responsibilities

Ensures hospital claims are processed accurately and timely.
Meets goals set forth in Key Performance Indicators.
Strong understanding of CPT4, HCPCS and ICD-10 codes.
Maintains/updates billing software – Paragon.
Audits remittances against contract fee schedules on a monthly basis and reports variances to Director.
Prepares Revenue Cycle Metrics reports as requested to assist with identifying areas of improvement.
Assumes any other responsibilities that may be assigned by the DPFS as needed.
Assists with training of team members as needed.
Adheres to all Finance Division Policies & Procedures.
Must have strong, positive telephone and customer service etiquette.
Must display positive communication and listening skills.
Needs full knowledge and understanding of health insurance guidelines and billing regulations.
Collaborate with registration teams and billing specialists to streamline the revenue cycle process.
Assists with posting of patient payments daily, as necessary.
Assists with balancing all payment batches and post Daily Receipt Logs.
Assists with reviewing variance reports for over/under payments.
Assist with sending denials and late billing reports to external vendors contracted with CCLSH routinely.
Comply with facility Standards of Behavior and complete all required education assignments within the designated timeline.