Patient Service Coordinator III

Position Summary:

Reporting to the department supervisor, this position is responsible for supporting management in the billing and collection of accounts receivable for the Health System and/or to resolve complex payer issues to completion on a daily basis. Critical to this position is a basic understanding of the importance of evaluating and securing all appropriate financial information to maximize reimbursement for the Health System. The Patient Service Coordinator must demonstrate proficiency in billing and/or collection of at least one payer’s billing practices, with basic understanding of additionalinsurance payer’s billing and collection practices. Must demonstrate analytical skills to resolve debit and/or credit balance accounts. The Patient Service Coordinator works as team member and positively accepts change throughout the Health System.

This position is responsible for serving as a team member of a receivable processing unit for multiple entities, and, as such, must establish relationships at all facilities and be familiar with each institution’s computer and payer contracts.

Education

• Associate in Arts Degree in Accounting, Business Administration, or a related area of study or equivalent combination of education and work experience preferred. (Work experience can be substituted on a 2 to 1 basis.)

Knowledge

• Requires detailed working knowledge of accounting or general office procedures.
• Requires knowledge and demonstrated proficiency in at least two or more specific payer’s application, and/or billing and collection process guidelines.
• Preferred knowledge of additional insurance payer’s billing and collection practices. Is able to obtain payer specific details, as necessary, and is able to complete additional payer billings and collections, as needed. Works with other Patient Financial Service Coordinator’s to resolve accounts to completion. Completes appropriate follow-up and monitoring of accounts until resolution.
• Preferred detailed knowledge of the Johns Hopkins Health System (JHHS) financial policies and procedures and/or understands other available insurance resources for patients.
• Requires ability to understand, interpret, evaluate, and resolve basic insurance related issues and effectively analyze situations with billing and/or account receivable.

• Budget Responsibility: Effectively uses resources within control.

Authority/Decision Making

• Organizes and prioritizes work to meet changing needs.
• Provides input regarding work processes based upon existing policy interpretation and general industry guidelines.
• Monitors bills/payments/credits and notifies management of any variances in routine processing.
• Complete account adjustments, refund requests, and/or bad debt placements for accounts and forwards to supervisor for approval based upon department guidelines.

Supervisory Responsibility

• In absence of supervisor, interacts with others in a “quasi-supervisory” capacity without expressed authority.
• Assists in providing “hands-on” training to new employees and retraining to those employees who require it.
• Documents process steps to assist in completing and revising departmental policies and procedures.
• Constantly evaluates workflow and JHHS processes and appropriately recommends process improvements.
• Projects “team spirit” and willingness to try new processes at all times.
• Positively accepts change and assists in implementing new processes.
• Acts as a team leader for projects.
• Completes first draft of policies and procedures for management review.

Problem Solvi ng

Reviews daily admission/discharge/transfer reports, unbilled, payer processing, downloads, edit/error and/or transmission reports to ensure all accounts are processed and/or billed to the appropriate carrier. Review aged trial balance (ATB) reports and/or other follow up reports and contact payer for JHHS reimbursement. Brings instances of recurring errors/issues to the supervisor’s attention. May assist in data gathering, documenting, and analyzinpayer issues. May assist in monitoring the timeliness of response to inquiries and preparing “root cause” analysis to identify factors creating patient dissatisfaction.

• Demonstrates ability to identify and resolve complex billing or credit balance problems.
• Monitors specific financial application requirements, payer billing, and/or collections processes and notifies management of any variances in routine processing.
• Serves as member on pilot test team for new processes or programs.
• Assists in identifying ways to improve current processes within the Health System.
• May assist in the installation of additional software applications to improve the efficiency and effectiveness of the billing, refund, and collection processes.
• Alerts management of any backlogs

Salary Range: Minimum $18.87/visit - Maximum $31.15/visit. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.