Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
Revenue Cycle PreArrival Services Coordinator
Location
United States
Posted
3 days ago
Salary
$24 - $31 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Revenue Cycle PreArrival Services Coordinator
Monument Health
Role Description Under the general oversight of the VP of Revenue Cycle, the Revenue Cycle PreArrival Services Coordinator executes advanced-level functions to ensure optimal reimbursement for high-cost and high-risk requests for healthcare services. This role is crucial for securing reimbursements, reducing organizational financial risk, and optimizing schedule utilization to safeguard timely patient access to care. - Coordinate the scheduling and authorization of referral for services requests. - Conduct advanced critical analysis to ensure optimal reimbursement. - Adhere to complex scheduling guidelines and accurately interpret orders and treatment plans. - Independently manage appointment schedule requests and ensure accuracy. - Effectively interact with medical and professional staff to secure necessary clinical information. - Review and evaluate referrals for service and appointment based on payer medical policies. - Prioritize the urgency of authorizations and follow up with payers. - Support the peer-to-peer and appeal processes from a clinical perspective. - Utilize organizationally approved communication pathways to gather and share patient information. - Conduct financial clearance reviews and educate patients/providers on payer complexities. - Communicate financial responsibilities to patients regarding service authorization. - Adhere to quality assurance, operational standards, and productivity expectations. - Navigate multiple systems independently and maintain confidentiality in handling results. - Demonstrate proficiency, experience, and best practice awareness of the healthcare industry. - All other duties as assigned. Qualifications - High School Diploma/GED Equivalent (Required) - Bachelor’s degree in Healthcare Administration, Business, or medical related field (Preferred) - 5+ years healthcare experience in revenue cycle, financial services, business office, coding, or related support services role (Required) - 7+ years healthcare experience in revenue cycle, financial services, business office, coding, or related support services role (Preferred) Requirements - Sedentary work - Exerting up to 10 pounds of force occasionally. - Ability to work assigned schedules and hours as determined by the department. Benefits - Supportive work culture - Medical, Vision and Dental Coverage - Retirement Plans, Health Savings Account, and Flexible Spending Account - Instant pay is available for qualifying positions - Paid Time Off Accrual Bank - Opportunities for growth and advancement - Tuition assistance/reimbursement - Excellent pay differentials on qualifying positions - Flexible scheduling
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