Patient Accounts Coordinator/Hybrid

2 weeks ago


Cleveland, Ohio, United States Hospice of the Western Reserve Full time
Job Summary

Hospice of the Western Reserve is seeking a highly skilled Patient Accounts Coordinator/Hybrid to join our team. As a key member of our revenue cycle team, you will be responsible for verifying medical insurance coverage, auditing data elements related to reimbursement of services, and collecting revenue from all payors in compliance with our procedures and regulatory standards.

Key Responsibilities:

  • Verify patients' primary and all other medical insurances have been verified and documented in the electronic medical record.
  • Set-up and maintains patients' primary, secondary and other identified coverage in the Payor Source screen of the electronic medical record according to the requirements of the payors.
  • Investigate and verify patients' medical insurance benefits when benefits change.
  • Coordinate the Financial Assessment and Payment Agreement process for patients that are uninsured.
  • Process Medicare Notice of Elections according to established procedures.
  • Analyze and audit Level of Care against patient service location.
  • Perform pre-billing functions according to established procedures.
  • Coordinate the Residential Room and Board process with the Social Workers at the Inpatient Units and process room and board Payment Agreements, charges, payments, and refunds as assigned.
  • Follow-up on patient accounts per established procedures.
  • Document all follow-up on patient accounts in billing comments section in the electronic medical record.
  • Prepare Billing Adjustments and Payment Adjustments according to established procedures.
  • Maintain the Revenue Cycle Key Performance Indicators targets as established by the Chief Financial Officer.
  • Interact with patients/families regarding medical insurance benefits and reimbursement of services.
  • Demonstrate effective Service Excellence skills according to agency standards.
  • Work collaboratively with Revenue Cycle team members and other appropriate Hospice of the Western Reserve staff to ensure reimbursement of all services.
  • Assist in the continued development of the verification, admission, and reimbursement processes.
  • Perform identified back-up functions for the Insurance Verification Coordinator and other Patient Accounts Coordinators as identified.

Requirements:

  • Two (2) or more years' experience with electronic medical records preferred.
  • High school diploma required.
  • Proficient in Microsoft Word, Excel, and Outlook.
  • Ability to compose and type business correspondence.
  • Must be detail oriented and be able to work in a fast-paced environment.
  • Must demonstrate strong customer service and communication skills.
  • Flexibility to work both independently and in a team environment.

Benefits:

  • Total Rewards Package to include Retirement, Health, Dental, Vision, voluntary benefits and Corporate Discounts.
  • Tuition Assistance.
  • Non-exempt role.
  • Technology Package.
  • Protocols in place for wellbeing during COVID-19.

Conditions of Employment:

  • Compliance to Annual Flu Shot Policy or ability to provide exemption documentation.
  • Ability to provide proof of eligibility to work in the United States.
  • High level of integrity, ethics and professionalism.


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