Resource Development Coordinator - Higher Ed. jobs in Lincoln, NE

JOB DESCRIPTION


Job Title: Financial Resource Coordinator II
Job Code: 880350
Immediate Supervisor: Patient Financial Services Manager
Status: Non-exempt


I. DEPARTMENT FUNCTION/JOB OVERVIEW

Performs financial analysis and counseling for applicable admissions or pre-admission referrals which are considered ‘High Risk’ in order to identify and address any potential problems with insurance benefits and the patients’ ability to pay. Provides self-pay, uninsured/under-insured patients with quality, reasonable and consistent financial counseling and refers patients to government agencies. Responsible for providing billing and reimbursement expertise by coordinating, organizing, analyzing, reporting, and monitoring of ‘High Risk’ admissions through knowledge of regulations and payers. This is to include daily/weekly active participation with the case management staff and others associated with the revenue cycle process to ensure maximum coverage and reimbursement is received. Work will be performed in an ethical and legal manner following organizational policies, processes, protocols and procedures. Responsible for quality service delivery and internal/external customer relations for Madonna as a whole, including upholding the vision, mission and values for the department and facility.


II. ESSENTIAL FUNCTIONS

(INFORMATION) (PEOPLE)

(THINGS) III. PHYSICAL DEMANDS AND ENVIRONMENTAL CONDITIONS

Light Work - Walk/stand constantly while stooping, pulling/ pushing file cabinets, reaching/climbing to retrieve computer printouts/storage material, twisting at desk to reach, type, answer phone and occasional lifting of approximately 20 pounds. Manual dexterity and acuity for computer entry. Requires sufficient sight to see and read reports and computer screen and oversee and inspect work products/outcomes. Requires sufficient hearing and speaking to effectively and efficiently communicate by telephone, mobile phone, computer, or in person. Inside office setting with noise from numerous telephones, keyboards, printers and simultaneous conversations.


IV. QUALIFICATIONS (Education/training and/or Experience)

High school equivalency with five years’ work experience in Hospital health care billing and reimbursement required. HIPAA knowledge and understanding is critical in this role. Current knowledge of Medicare, Medicaid, Workers Compensation, Liability or commercial insurance billing and reimbursement regulations and principles required.

Requires strong skills in oral and written communication, math, organization, analysis, and problem solving demonstrated through self-motivation and leadership.
Ability to utilize sound interpersonal skills and maintain a calm demeanor when interacting and taking into consideration cultural background and linguistic skills with patients and families. Must have a record of demonstrating a high level of self-motivation and demonstrated excellent organizational, analytical problem solving and communication abilities.

Must have working knowledge of Excel spreadsheets and be proficient in Word and 10 key calculator. Membership or Certification with external organizations such as HFMA, AAHAM knowledge of CMS Navigator process and/or SHIPPS Volunteer status preferred.

Background checks are conducted. When specific authorization forms are requested so that full background and history can be obtained, employees/applicants must sign the form(s) requested.