Patient Financial Services Coordinator III - Rev Cycle-Operations Support Services

University of Mississippi Medical Center - Clinton, MS

Full-time - Mid Level

Clinton, MS

Hospitals

About the position

The Patient Financial Services Coordinator III at the University of Mississippi Medical Center plays a crucial role in the revenue cycle operations support services. This position is responsible for performing advanced patient financial service functions, which include billing, follow-up, receiving and reviewing correspondence, and managing third-party and patient billing inquiries. The coordinator will ensure the integrity of patient demographics and billing data, contributing to the financial success of the medical center through meticulous attention to detail and a diligent work ethic. The role requires a comprehensive understanding of medical claims processing, including knowledge of ICD-10, HCPCS, and CPT coding, as well as the ability to analyze complex payer guidelines and billing regulations. In this position, the coordinator will prepare and submit clean claims to insurance companies, either electronically or via paper, ensuring accuracy and compliance with all relevant guidelines. The role also involves working with assigned reports, patient accounts, and collaborating with management and co-workers to foster a positive working environment. The coordinator must maintain strict confidentiality and adhere to HIPAA guidelines while focusing on compliance with departmental policies and processes. The ideal candidate will possess strong analytical skills to identify and correct errors, excellent communication abilities, and effective organizational skills. This position requires a high school diploma or equivalent, along with five years of relevant revenue cycle experience. Preferred qualifications include knowledge of medical terminology and the appeals process, as well as certifications such as Certified Revenue Cycle Representative (CRCR) or Certified Revenue Cycle Specialist (CRCS).

Responsibilities

• Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations.
• Focuses daily on complying with policies, processes, and department guidelines for assigned revenue cycle duties.
• Prepares and submits clean claims to insurance companies either electronically or by paper in an accurate, timely, and compliant manner.
• Has a basic understanding of payer guidelines related to claim submission; is knowledgeable and proficient with payer websites and other useful resources pertaining to revenue cycle functions.
• Works assigned reports, work-lists, and patient accounts.
• Collaborates with management and co-workers in an open and positive manner.
• Contributes to a positive working environment.
• Performs any other assigned duties as required.

Requirements

• High school diploma or equivalent required.
• Five (5) years of relevant revenue cycle experience.
• Knowledge of ICD-10/HCPCS/CPT coding.
• Advanced knowledge of medical claims processing.
• Ability to maintain confidentiality.
• Intellectual capacity to understand and analyze complex payer guidelines and proper billing regulations.
• Demonstrated analytical skills to discover root cause of errors and properly correct them.
• Good verbal and written communication skills.
• Effective organizational skills.
• Basic computer skills, including proficiency in Microsoft Word and Excel, and basic data entry.
• Advanced knowledge of third-party insurance plans and government insurance plans.

Nice-to-haves

• Knowledge of medical terminology.
• Knowledge of the appeals process.
• Certification as a Certified Revenue Cycle Representative (CRCR) through Healthcare Financial Management Associate (HFMA) or Certified Revenue Cycle Specialist (CRCS) through American Associate of Healthcare Administrative Management (AAHAM) preferred.

Benefits

• Health insurance coverage.
• Paid holidays.
• Flexible scheduling options.
• Professional development opportunities.