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Stony Brook Medicine (University Hospital) Revenue Cycle Coordinator in Stony Brook, New York

At Stony Brook Medicine the Revenue Cycle Coordinator will lead Patient Financial Services staff working within the Hospitals Business Office. They will act as senior support to staff pursuing the timely and effective billing and collection of the Hospitals Accounts Receivable. The Coordinator will work collaboratively with the Unit Supervisor to develop and optimize work flows and work queues, train staff and monitor the units work quality and productivity. They will mentor and train staff and serve as the immediate subject matter expert for staff questions. Successful candidates will have a Bachelors Degree and at least 2 years of health care revenue cycle experience. In lieu of a degree, at least 4 years of healthcare revenue cycle experience with a background in claims submission, analysis, follow-up and/or denials appeals and resolution. Duties of a Revenue Cycle Coordinator may include the following, but are not limited to: Prepares and submits complex insurance claims, voids and adjustments. Investigates and resolves high dollar and complex claim issues including: claim edits, coding and charging issues and improper payments. Follows-up on high dollar and complex rejected or denied claims. Processes complex appeals. Assists the Supervisor in developing and providing staff training. Including creating work aides and procedure manuals. Audits staff work; provides education on best practice. Educates staff on payer contracts and billing and regulatory compliance. Acts as subject matter expert and a primary point of escalation for staff. Provides the Unit Supervisor regular updates on unit status including staffing, payment and denial trends and work flow issues and bottle necks. Liaises with clinical, I.T. and Revenue Cycle Departments as well as third parties including billing and follow-up vendors as required. Supports the Hospital/Payer Joint Operating Committee process tracking, reporting and researching issues as required. Investigates and accurately updates complex COB issues, including refund request letters, reports, mail, etc. Assists in unit staffing, scheduling and employee timesheet review and approval. Assists in maintaining unit productivity dashboards. Assists in the completion of special projects as requested.

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