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Financial Resources Coordinator - Omaha, 40 hrs/wk, Monday - Friday

Madonna Rehabilitation Hospital Omaha, NE
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JOB DESCRIPTION
 
 
Job Title: Financial Resource Coordinator I                                   
Location:  Omaha
Immediate Supervisor: Patient Financial Services Manager                          
Status: Hourly
                           
 
 
JOB OVERVIEW
 
Performs financial evaluation and counseling for applicable admissions or pre-admission referrals which are considered â??High Riskâ??in order to identify and address any potential problems with insurance benefits and the patientsâ?? 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 â??High Riskâ?? 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 mission and values for the department and facility.
 
ESSENTIAL FUNCTIONS
 
(INFORMATION)
  1. Knowledge of Healthcare laws, regulations, policies, procedures, and coding for billing and collection in specialty area.
  2. Perform financial evaluation and in-depth evaluation of current financial situation and assessment of potential solutions for patient/families categorized as â??high riskâ?? admissions in order to identify and address any potential problems with insurance benefits and the patientâ??s ability to pay.
  3. Communicate daily/weekly as appropriate with the Financial Resource Coordinator II to address concerns and/or identify next steps for successful resolution.
  4. Requests payment as applicable, before or at the time of admission due to inadequate or no insurance coverage, non-covered services, prior bad debt status, or denied services.
  5. Schedule and facilitate patient/family financial meetings to discuss options.
  6. Assist with completion of Social Security and Medicaid applications.
  7. Follow applications for completion to ensure that Madonna will be appropriate reimbursed for services and that discharge barriers are eliminated
  8. Update â??High Riskâ?? admission log.
  9. Work with external stakeholders to coordinate financial documentation requirements and streamline applications.
  10. Verify and maintain accuracy of primary/secondary payor source for billing purposes. 
  11. Verify Medicaid patientâ??s eligibility and monitor Medicaid application process for accurate payor source. 
  12. Compile and record patient information/updates to provide accurate billing and statistical information.
  13. Monitor and coordinate completion of the Medicare Quarterly Credit Balance Report.
  14. Coordinate medical documentation/requests, secondary payor information, or any other requests as received to expedite payment and compliance to customer requests. 
  15. Record all pertinent conversation/actions for an account to provide an accurate documentation of collection efforts.  
(PEOPLE)
  1. Complete functional responsibilities within the Customer Access System and be an active participant in CAS meetings as assigned. Responsible for working closely with Financial Resource Coordinator II to ensure that appropriate coverage is available, all financial resources are being considered and that the family is being well informed and represented while at the same time recognizing the importance of following the previously established financial guidelines of Madonna.
  2. Promote teamwork within the specialty area and within the department through leadership through the use of goal setting and active demonstration of the values of the Madonna Rehabilitation Hospital.
  3. Receive and respond to questions regarding billing and status of reimbursement in specialty area.
  4. Assist patient/clients when necessary to evaluate their financial needs so that they have a clear, concise understanding as to their financial responsibility regarding payment of the account. 
  5. Communicate and counsel resident/patients, families, co-workers and guests in a respectful and compassionate manner in accordance with the Madonna mission to ensure quality of service delivery. 
  6. Mentor, negotiate and intervene with patient/family that come to Patient Financial Services for clarification and resolution of an account to ensure customer satisfaction. 
  7. Answer phones to provide information courteously and promptly. 
  8. Communicate within department and cross-functional teams and with the Patient Financial Services Manager to share or inform of situations which may impact department or facility. 
  9. Provide backup for department staff when sick or on vacation to ensure efficient operation and quality of service. 
  10. Follow instruction from supervisor to perform other functions as assigned in order to achieve the goals within the department.
  11. Work well with internal and external customers in demanding situations while demonstrating commitment to service excellence.
(THINGS)
  1. Must be able to operate copier, telephone, and calculator, fax machine and have proficient computer skills, including e-mail, word processing, presentation, spreadsheet functions and Patient Financial Services software.   
  2. Maintain and ensure a safe and clean environment for the department.  Handle and operate all necessary equipment and perform required duties according to established safety standards to maintain compliance with regulations and prevent injury. 
 
 
QUALIFICATIONS
 
High school equivalency with three yearsâ?? work experience in Hospital health care billing and/or related experience.  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 is preferred.  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. Must be compassionate, understanding and comforting as well as self-directive, motivated and professional (appearance and behavior)Must have working knowledge of Excel spreadsheets and be proficient in Word and 10 key calculator. 
 

MADONNA IS AN EQUAL OPPORTUNITY EMPLOYER

 





















Date Posted September 13, 2022
Date Closes September 28, 2022
Requisition 0004UX
Located In Omaha, NE
Department Omaha-Madonna Main Campus
SOC Category 00-0000.00
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