Financial Service Coordinator

Stamford Health; Stamford (CT); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Sign on bonuses for designated pos

Comprehensive, low-cost health plans (

Wellness programs

Paid Time Off accruals

Tax deferred annuity and (403b) plan

Free on-site parking and train station

Childcare partnership with Children’s

Job summary

Stamford Health is a well-established healthcare system in Fairfield County, CT, offering sign-on bonuses, comprehensive health plans from day one, and parking/shuttle benefits. The billing specialist will manage AR, pre-certifications, eligibility verification, and patient financial counseling, leveraging EMR systems like Meditech, Centricity and Epic.

Strong communication and organizational skills are required, with priority on accurate data handling and customer service excellence in a

Qualifications

• High School diploma or equivalent; some college preferred.
• 5+ years of related business experience preferred.
• Self-disciplined, organized, able to work with minimal supervision.
• Excellent customer service and professional conduct per policy.
• Strong interpersonal and written communication skills.
• EMR/PM system experience required.

Responsibilities

• Manages accounts receivable for professional service billing and follows up on unpaid claims.
• Pre-certifies chemotherapy regimens per insurer guidelines.
• Verifies eligibility and benefits before visits and as directed.
• Registers patients and discusses benefits with patients using Meditech/Epic systems.
• Provides patient financial counseling and explains cost estimates.
• Learns and uses Meditech, GE Centricity, Epic and related software.
• Reviews documentation across departments and maintains data confidentiality.
• Performs other duties to maintain high service levels.

Skills

Customer service

Communication

Microsoft Office

EMR/PM systems

Bilingual (preferred)

Education

High School diploma or equivalent

Some college or business school training

Tools

Meditech

GE Centricity

Epic

Job description

Stamford Health is a well-established, award-winning Healthcare System with multiple locations in Fairfield County, CT.

As a new Certified Great Place to Work organization, Stamford Health understands what it takes to attract talent to improve our workforce and support our mission, to that end we offer:

• Sign on bonuses for designated positions
• Comprehensive, low-cost health insurance plans available day one
• Wellness programs
• Paid Time Off accruals
• Tax deferred annuity and (403b) pension plan
• Free on-site parking and train station shuttle
• Childcare partnership with Children’s Learning Center

MAJOR ACCOUNTABILITIES/CRITICAL RESPONSIBILITIES:

• Demonstrates understanding of the revenue cycle.
• Performs follow up of claims. Maintains files and contacts appropriate parties to determine correct status and follow up of unpaid accounts. Processes and follows up on all assigned patient accounts until paid in full, managing accounts receivable for professional service billing.
• Updates receivable system with any new, corrected or pertinent information in relation to resolution of receivable accounts, and insures that proper information for follow up is shown in GE Centricity, Meditech and/or Epic, as appropriate..
• Understands and accurately applies requirements for pre-certification of chemotherapy drug regimens; pre-certifies treatments as indicated by government and private insurers.
• Insures eligibility and benefits are properly verified prior to initial visit and thereafter as directed.
• Makes daily manual deposits as needed. Balances credit card machines with other deposits as required.
• 5. Pre-registers patients. Demonstrates ability to have meaningful discussion of benefits with patient when pre-registering in Meditech or Epic, and when present in the department.
• Performs patient financial counseling. Evaluates care plans and communicates with patient, sends cost estimates to patients to establish payment expectations based on individual insurance benefit plans.
• Is able to learn quickly and demonstrate proficiency with various software programs, including Meditech and GE Centricity, Epic and other applications as required.
• Assists physicians in determining approved regimens for treatment. Familiar with NCCN, FDA and Medicare guidelines and insures that regimens are approved according to same.
• Demonstrates knowledge of coding for ICD-10, CPT and HCPCS.
• Applies department processes for non-profit, community, pharmaceutical, federal, state and health system financial assistance programs. Demonstrates knowledge of Federal and State requirements for the No Surprises Act and assistance for patients with inability to pay.
• Demonstrates knowledge of drug replacement programs, grant programs, co-pay foundation programs and other cancer-related patient support options. Processes and monitors applications and captures highest level of value to patient and institution.
• Provides timely and accurate information regarding patient data/status to other health system departments, physicians, physician office staff, nursing, pharmacy, and public agencies while insuring patient confidentiality is not breached.
• Has some familiarity with electronic billing, edits, and claim submission and processing electronic remittance advice, posting payments, and claim appeals.
• Performs other related duties as assigned or requested in order to maintain a high level of service.

ADDITIONAL QUALIFICATIONS/REQUIREMENTS:

• High School diploma or equivalent required, some college or business school training preferred.
• Five (5) or more years prior equivalent experience in a business setting is preferred.
• Is self-disciplined & organized, and able to complete work and monitor accounts independently with minimal daily supervision.
• Completes required continuous training and education, including department specific requirements.
• Demonstrates professional work behavior and excellent customer services skills at all times by following Stamford Health’s code of Conduct and Service Standards.
• Demonstrates strong interpersonal and verbal/ written communication skills.
• Complies with departmental organizational policies and procedures and adheres to external agency requirements.
• Bilingual preferred but not required.
• A high degree of computer literacy in a PC environment is required, including Microsoft office products. Previous EMR / PM system experience required.