Financial Coordinator

Advocate Health; Charlotte (NC); On-site; USD 60,000 - 80,000; Full time

Job summary

Advocate Health in Charlotte seeks an experienced billing specialist to manage billing and collections for all payor types. You will coordinate payer communications, rebill claims, and follow up on claim status to optimize revenue performance.

The role requires strong analytical skills, medical terminology knowledge, and excellent communication to discuss patient financial options and develop plans with families. Hospital workflow experience and proficiency in Excel are essential.

Qualifications

• Bachelor's degree in Accounting or Finance or related field; 5 years of insurance experience preferred.
• 1–2 years reimbursement experience in a hospital environment is preferred.
• Proficient with medical terminology; familiar with transplant-related clinic considerations.
• Excellent written and oral communication skills are required.
• Microsoft Excel, Word, STAR and IDX experience required.
• Databases, hospital registration, billing and clinical systems preferred.

Responsibilities

• Coordinates and manages the billing and collection functions for all payor types.
• Notifies physician offices of contract periods and monitors accounts and reimbursement.
• Rebills claims as necessary and follows up on claim status; maintains accounts.
• Researches insurance benefits and discusses options with patients and families.
• Develops financial plans with patients and families to address out-of-pocket exposure.
• Obtains all necessary payer authorizations and verifies coverage and referrals.

Skills

Analytical skills

Interpersonal skills

Time management

Communication skills

Education

Bachelor's degree in Accounting or Finance

5 years of insurance-related experience

Tools

Microsoft Excel

Microsoft Word

STAR

IDX

Job description

Essential Functions

• Coordinates and manages the billing and collection functions for all payor types.
• Notifies physician offices of contract periods, identifies and monitors accounts, determines correct reimbursement, bundles all bills for submittal to insurance companies, rebills claims as necessary, followings up on claim status, performs regular account maintenance, collects and distributes payments appropriately.
• Researches insurance benefits, options and potential patient financial needs and discusses findings with patients and their families.
• Develops a financial plan with patients and their families.
• Works with patients and develops resolutions to potential patient financial out-of-pocket exposure and helps them plan and overcome these obstacles.
• Obtains all necessary payer authorizations.
• Verifies and monitors coverage and other medical benefits and acquires necessary referrals and authorizations.
• Ensures that all payor approvals are current at all times.

Physical Requirements

Mobility required. Majority of the day spent sitting. Must be able to lift up to 5 lbs of patient charts. Work requires stretching to file or retrieve charts or manuals. Must be able to communicate with other groups and departments.

Education, Experience and Certifications

Bachelor's Degree in Accounting, Finance or related field or 5 years of insurance related experience required. 1 to 2 years of reimbursement experience in a hospital setting is preferred. Must be able to work independently and possess strong organizational, time management and interpersonal skills and be able to prepare and analyze financial reports. Must be proficient with medical terminology and be familiar with clinical considerations as these relate to transplant cases. Extensive analytical skills and focus on details. Excellent written and oral communication skills required. Microsoft Excel, Word, STAR and IDX experience required. Databases, hospital registration, billing and clinical systems preferred.