Job Description:
Description
HOW WE CARE FOR YOU:
At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.
- Pension Plan
- Retirement Plan
- Comprehensive Benefits Package
- Tuition Reimbursement
- Benefits Effective Date of Hire
- Same Day Pay through Daily Pay
SUMMARY
The FERC Coordinator works in collaboration with manager and a group of individuals to ensure accuracy of charges for multiple departments. Reviews multiple work queues daily for edits, missing charges, insurance and prior authorizations. Ensures timely submission of claims. Reviews reconciliation reports to ensure charges are captured for all patients and all services rendered. Reports trends to manager and identifies when additional training is needed for staff. The FERC coordinator is a subject matter expert in all front end workflows and is able to perform these roles in a professional and knowledgeable manner.
STATUS: Full Time
LOCATION: Riedman Campus
DEPARTMENT: FERC
SCHEDULE: Monday - Friday Days
ATTRIBUTES
• Five years related work experience in a healthcare setting preferred.
• Basic computer skills highly desired.
• Excellent customer service and communication skills highly desired.
RESPONSIBILITIES
CLAIMS & VERIFICATION: Review/resolves charge review work queues for assigned sites for completeness and accuracy. Reviews/resolves claim edit work queues completeness and accuracy. Works with sites to obtain additional information from providers and/or patients. Verification of insurance eligibility/coverage. Communicates professionally and timely with both internal external customers such as but not limited to; payers, physician offices and other departments. Works closely with billing department on insurance denials and trends. Reviews charge reconciliation reports for missing charges and correct billing of split charges; understands PB and HB charges, PBB payors, traditional PBB, non-traditional PBB. Reviews follow up WQ for denials and monitors for trends by insurance and/or department; responds to billers' questions in a timely manner.
SERVICE & SUPPORT: Reviews denial reports with leadership team. Handles patient billing questions, doing appropriate research. Runs revenue cycle reports as needed by practice. Monitors point of service payment collections; identifies opportunities where they exist and works with team members to improve collection rates. Centralized support team will perform follow-up on initial denials, including resubmission of claims when necessary, or escalation to CBO when charge is corrected. Support team located at the practices will work closely with clinical team to ensure all charges are captured. Performs other duties as assigned
PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
PAY RANGE: $18.00 - $23.25
The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
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