PATIENT SVC COORD IV (Bethesda)

POSITION SUMMARY:
The Patient Services Coordinator IV is responsible for training leading and motivating team members. Responsible for assisting management by serving in the lead role and functioning as a group/team mentor and resource liaison. Duties include managing complex multi-payer insurance verification and benefits eligibility procedures; obtaining and completing documentation for pre-certification and referral/authorizations assessing patient financial liability and scheduling registering and billing patients. This position requires a clear understanding of the revenue cycle and professional competence in reviewing and securing all appropriate financial resources for patients to maximize reimbursement to the Health System. Serving as a team member of the receivable processing unit this position also requires operating knowledge of payer contracts and computer systems at affiliate locations. The Patient Services Coordinator IV must be highly proficient with insurance verification/benefits eligibility procedures and have extensive knowledge of pre-certification and claims processing. This position requires patient/ family contact on and off the medical unit to receive payment ascertain appropriate insurance coverage and initiate applications for alternative sources of funding.

A. Education:
A.A. degree or equivalent required. B.A. degree preferred.
B. Knowledge:
Comprehensive understanding of medical and insurance terminology.
Technical competence and demonstrated proficiency with medical insurance plans billing regulations and managed care plans applicable to inpatient care.
Familiar with multiple payers insurance verification and pre-certification guidelines.
Requires basic working knowledge of payers billing and collection practices.
Able to obtain payer specific details as necessary to ensure accurate coordination of benefits.
C. Skills:
Effectively maintains leadership in a group environment and promotes teamwork.
Demonstrates strong grammar and spelling skills. Uses clear and concise language.
Requires excellent verbal communications telephone manner interviewing and interpersonal skills to interact with patients families members of the health care team and external agencies. Ability to demonstrate and convey a favorable image of the organization and to conform to proper standards of professional dress attitude and demeanor. Requires analytical skills to perform calculations for financial work up and deductibles and to receive payments. Requires proficiency in PC usage and keyboard. Ability to perform with accuracy and attention to detail.

Salary Range: Minimum 20.22/hour - Maximum 33.38/ 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.

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