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Rochester Regional Health

Payer Receivable Coordinator

Rochester Regional Health, Campus, Illinois, us, 60920

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Job Title: Payer Receivable Coordinator Department: Patient Accounting Location: Riedman Campus Hours Per Week: Full-Time Schedule: M-F, Day (Either 7.00 AM to 3.30 PM or 8.00 AM to 4.30 PM)

Position Summary: Assists Leadership in overseeing the daily operations of the billing team. Assists in managing team members by assigning and monitoring work to meet department goals. Monitors and analyzes assigned area of receivable to identify trends and improve workflows to maximize collections.

Key Responsibilities:

Assists Supervisors/Managers in overseeing the daily billing operations

Assists Supervisor in supporting new, temporary, and outsourced staff

Provides feedback to Supervisor on team issues and performance

Interacts with various departments such as HIM, Revenue Integrity and FERC to obtain information and resolve billing issues

Coordinate timely and accurate completion of special billing projects identified by leadership to achieve department goals.

Working knowledge of payer contracts and reimbursement methodologies

Crosstrain on multiple billing platforms as needed

Research and respond to internal and external questions in a professional way

Identify potential billing compliance issues and inform leadership team

Assist in coordination and implementation for new services, (new MD practices, hospitals, service lines etc)

Participate in committees focused on process improvement

Desired Attributes:

Proficient working knowledge of assigned receivable systems

General knowledge of Medicare, Medicaid and insurance compliance issues preferred

Familiarity with ICD-9 diagnosis and procedure codes as well as CPT/HCPCS codes helpful

Knowledge of UBO4 billing form and 1500F05 specific payor requirements preferred

Proficiency in a variety of computer applications and Microsoft office (Excel, Word, PowerPoint, etc.) and common office equipment

Excellent problem solving, organizational and oral and written communication skills required

Excellent email and project management skills. Candidate must have the ability to multi-task and work in a fast paced setting, that sometimes requires direction on what items should be addressed as priority.

Excellent interpersonal, organizational, communication, attention to detail and follow through skills

Flexibility and ability to work as a team player and to handle simultaneous tasks

Successful completion of annual age and job specific competencies and skill verification tools required

Analytical and problem solving skills are required

Minimum • 1 year of related work experience in a healthcare setting or customer service

Required Licensure / Certification Skills:

N/A

Physical Requirements: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

Pay Range: $19.00 - $25.00

City: Rochester

Postal Code: 14617

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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