Financial Records Coordinator

Hours: Tuesdays & Wednesdays 5pm to 9pm, and Saturdays & Sundays Rotating 8am to 2pm & 2pm to 9pm

Summary & Objective

The Financial Records Coordinator is responsible for overseeing and maintaining patient records related to billing, performing initial collection functions related to Medicare, Medicaid, Private Pay, Self-Pay and Charity. Monitors key billing documentation associated with admission and recertification to assure accuracy and compliance with regulations.

Essential Functions

• Monitors daily admission documents and recertification documents to assure key billing documentation is received in a timely manner.
• Reviews admission documentation for completeness-facilitates management of required corrections.
• Communicates effectively with Team Managers to assure compliance with billing related documentation.
• Reports any issues or trends to Director(s) of Care.
• Generates monthly reports and coordinates with patient care to ensure that all initial certifications and re-certifications are obtained prior to the monthly billing run.
• Coordinates with Admissions, Patient Care and Social Services Departments on Medicare, Medicaid, private insurance, HMO, and self-pay patients to obtain pre-billing information, insurance policy eligibility verifications, and insurance authorization approvals in order to collect documentation and update billing files.
• Posts appropriate and accurate information on patients records and works with Reimbursement Coordinator and Collection Specialist to ensure that all collections were paid accordingly.
• Maintains billing files with up to date supporting documentation in compliance with insurer requirements.
• Generates reports related to billing from the software program as required.
• Serves as a back up to Reimbursement Coordinator and Collection Specialist.
• Assists Reimbursement Manager as may be required with billing and collection processes.
• Assists Reimbursement Manager with Medicaid application by compiling necessary documentation and attending the designated appointments with the Department of Children and Families.

*Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Other Duties

• Ability to manage multiple projects simultaneously and meet hard deadlines.
• Creates and maintain very organized records or files.
• Work product must be accurate and is subject to random and frequent auditing.
• Maintain your required licenses, certifications, and mandatory skill updates.
• Comply with all policies, local, state, and federal laws, and regulations.
• Provide other duties of healthcare team member
• Perform other duties as assigned

Supervisory Responsibility

• May serve as an interim department leader depending on need

Physical Requirements

• Must be able to lift and/or move up to 50 pounds and push/pull up to 250+ pounds, walk, climb stair or ladders, stand on feet for extended periods of time, etc.

Disclaimer

The job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.

EEOC Statement

CHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Requirements

Knowledge & Experience Requirements

• Associate's or Bachelor's Degree, or Certificate in Finance, or Accounting or equivalent combination of education and experience.
• 1-2 years of experience in billing and collections in health care organization with knowledge of 3rd party payer system.
• Experience in Medicare, Medicaid and other third-party billing preferred.
• Knowledge of Medicare and Medicaid billing regulations and Medicaid eligibility preferred.
• Experience with Medicare DDE is a plus.
• Must have knowledge of computer office/clinical software.
• Must be able to read, write and understand the English language.