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

The University Of Mississippi USA - Clinton, MS

Full-time

Clinton, MS

Educational Services

About the position

The Patient Financial Services Coordinator III plays a crucial role in the revenue cycle operations at the University of Mississippi Medical Center. This position is responsible for performing advanced patient financial service functions, which include billing, follow-up, and the review of correspondence related to patient accounts. The coordinator will ensure the integrity of patient demographics and billing information, while also addressing and resolving any billing questions that may arise. This role is essential in maintaining the financial success of the medical center through a diligent approach to work and meticulous attention to detail. In this position, the coordinator will be tasked with preparing and submitting clean claims to insurance companies, ensuring that all submissions are accurate, timely, and compliant with relevant regulations. The coordinator will also need to have a solid understanding of payer guidelines related to claim submissions and be proficient in utilizing payer websites and other resources that support revenue cycle functions. Collaboration with management and co-workers is vital, as the coordinator will contribute to a positive working environment and work effectively with others to achieve departmental goals. The role requires a high level of confidentiality and adherence to HIPAA guidelines, as the coordinator will handle sensitive patient information. The coordinator will also be expected to work independently, demonstrating effective organizational skills and the ability to manage multiple tasks efficiently. Overall, this position is integral to the operations of the revenue cycle and requires a combination of technical knowledge, analytical skills, and strong communication abilities.

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 since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive.

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.
• Good verbal and written communication skills.
• Maintains professional standards.
• Effective organizational skills.
• Basic computer skills, including but not limited to 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 appeals process.
• Certification as a Certified Revenue Cycle Representative (CRCR) through Healthcare Financial Management Associate (HFMA) preferred.
• Certified Revenue Cycle Specialist (CRCS) through American Associate of Healthcare Administrative Management (AAHAM) preferred.

Benefits

• Benefits Eligible