Direct Bill Coordinator I

Direct Bill Coordinator

The Direct Bill Coordinator will work with high volume direct bill customers, offices, our billing vendor and other cross functional areas to resolve complex invoicing issues, pricing and client systems configurations and collect on escalated aging invoices. In this role they will act as an informal resource for the PRCE team. This role will not only build relationships with assigned customers and internal key stakeholders, but also use critical thinking skills to refine operational issues within our direct bill segment and resolve more complicated accounts receivable support needs.

Essential Duties And Responsibilities

Essential duties and responsibilities include the following:

• Arranges and oversees completion of all monthly invoicing and AR management for direct bill accounts and assigned responsibilities.
• Utilizes more advanced analytical skills and expertise in a range of processes, procedures, systems to recover aging invoices and support a specific customer segment
• Analyzes data to identify and solve operational issues and refine the experience
• Escalates more complex issues and customer impact complaints to leadership
• Works with stakeholders to improve efficiencies and achieve targeted results
• Contributes ideas for process improvement based on identified themes and an understanding of the big picture
• Develops professional relationships with external customers, maintains open lines of communication and builds rapport by providing timely and professional service
• Performs financial and operational reporting and data analysis in support of organizational and project-level objectives.
• Provides performance improvement methodology guidance to Revenue Cycle operational leaders.
• Provides support for Revenue Cycle strategic planning efforts.
• Continues to develop skills and build collections knowledge and business acumen
• Other duties or responsibilities as assigned
• Monitor email, phone and fax system to collect incoming payment info, billing requests, etc.
• Proficient in MS office, excel and related billing systems
• Ability to think logically in following procedures and instructions.
• Ability to self-direct confidently in the absence of defined/detailed instructions.
• Ability to follow-up timely and thoroughly on outstanding tasks
• Ability to work in a fast-paced environment.
• Ability to multi-task
• Highly organized
• Reconciled weekly accounts to validate invoices are priced per contracted rates.
• Extremely detail oriented.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• 5+ years of analytical & project management in healthcare admin, finance or billing roles with experience in all phases of a revenue cycle.
• Experience with a large, growing healthcare organization.
• Bachelor's Degree highly preferred but experience can be substituted for education.
• Extensive knowledge of processes like patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems, and financial reporting.
• Hands-on participation in process/workflow design including team member involvement across the department.
• Ability to analyze and resolve problems that affect the claim/ invoice submission process, regardless of whether the problem originates in an area under direct or indirect control.
• Ability to work effectively in a cross functional team; demonstrated ability to partner with other departments within the organization.
• Ability to gather, analyze, interpret, and present data in clear and concise reports and make recommendations
• XIFIN experience preferred

Education and/or Experience

Position generally requires a high school diploma or general education degree (GED) and 5 years related experience in a medical billing customer service role. Proficient in understanding laboratory orders, monthly invoice and AR follow up processes, knowledge of Medical Coding (CPT & Diagnostic Codes) and HIPAA rules and regulations required. Strong working knowledge of medical terminology, insurance and billing and collections workflows. Basic accounting principles. In-depth understanding of medical billing, third party administrators, and governmental rules and regulations required. Extensive knowledge of collection procedures.

Language Skills

Must be fluent in both verbal and written English. Must have the ability to speak effectively to provide information and respond to questions from client customers, managers, employees, patients, and payor representatives. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to provide analysis, summarize data, write reports, business correspondence, and procedure documents. Ability to effectively present information and respond to questions from groups of managers, co-workers, and clients.

Mathematical Skills

Ability to audit, calculate, estimate and propose figures and amounts such as discounts, interest, proportion, averages and percentages.

Reasoning Ability

Ability to apply common sense understanding to carry out directives and follow instructions furnished in written, oral, or diagram form. Ability to deescalate and deal with problems involving upset customers and stressful situations. Ability to understand and appreciate HIPAA rules and regulations regarding patient privacy.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit for extended periods of time in front of a computer monitor. The employee is required to use headphones for extended periods of time while handling phone calls. The employee is required to perform extensive data entry. The employee frequently is required to use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually quiet.

All qualified applicants are considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status or other protected class.