The Payment Transaction, Coordinator must have the technical expertise to identify, analyze, audit and resolve issues while working timely and effectively both internally and externally. This includes assisting with leading performance improvement projects to increase staff productivity while streamlining and improving workflow process and the appropriate use of systems and automation. The payment Transactions Coordinator must utilize independent judgement.
The department Coordinator is responsible for the training and support of the Payment Transactions staff ensuring that all payment/allowance transactions, paper or electronic are processed in accordance with established quality and performance standards in a timely and efficient manner. This position exhibits excellent customer service communication skills and trains staff. Proactively interacts with vendors, insurance companies, government agencies and/or patients to obtain correct payment and allowance transactions.
Duties & Responsibilities:
Provides day-to-day coordination of assigned PFS functions.
Prepares staff monthly productivity as set by management to ensure goals are met.
Assist Management by monitoring staff work queues.
Lead staff huddles and visibility boards to assist management with staff meetings and education.
Assist management to engage staff with Gallup Impact Plans.
Able to perform in a leadership role when interacting with the staff.
Responsible for Investigating, documenting, and resolving problems and complaints.
Assures problems are investigated thoroughly and in a timely manner.
Effective and positive system improvements are provided as part of the problem resolution.
Potential improvements are occasionally identified before problems arise.
Continuous process improvements are strived for in day-to-day activities.
Input on development, revision, and implementation of work area policies and procedures is provided to ensure efficient operations and compliance with regulatory standards.
Performs responsibilities in assigned work area.
Workload is prioritized and managed to meet established deadlines and goals.
Accuracy and quality are maintained in daily work.
Documentation is maintained per established requirements.
Support is willingly given to assist other staff with daily functions.
Assures assigned projects are completed in a timely manner as defined at the onset of the project.
Responsible for maintaining a positive and professional work environment.
Communicates process change updates to peers and subordinates in a timely manner.
Meetings are regularly attended with active participation.
Teamwork and behavior supportive of team morale is consistently demonstrated.
Productive work habits are consistently displayed.
Participates as a team member and is accountable for own work responsibilities.
Time off is scheduled to avoid disrupting workflow.
Feedback is solicited and accepted in a positive manner.
Works closely with PFS Managers in developing, implementing, and revising PFS related departmental policies and procedures.
Able to adhere to all confidentiality policies and procedures and carries out all tasks in a pleasant and respectful manner.
Ability to use critical thinking while reviewing Commercial billing and collection notes in the financial computer system to ensure that the appropriate action is taken within the Commercial billing process to ensure correct hospital reimbursement.
Coordinate monthly staff productivity and QA reviews, one on ones.
Identification and implementation of best practices and lien processes.
Coordinate and support staff training.
Monitoring/knowledge of 835/EFT processing.
5 years’ experience, in posting and researching payment transactions. With a minimum 2 year working knowledge and understanding of all electronic payment processing (on-line computerized environment, in health care. Must have working knowledge of 835,EFT’s,EOB’S, ERA’s and ANSI codes.
Prior management experiences a plus.
EPIC experience required.
Knowledge of HIPAA standards /codes required.
Excellent interpersonal and communication skills required.