AtlantiCare Regional Medical Center
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
POSITION SHIFT: Days
POSITION STATUS: Full-Time
REQ_NUM: 04-36651
Hours Per Week 37.5
Holidays Required? No
Job Category: Finance
Location: Atlantic City
Weekends Required? No
Description
POSITION SUMMARY.
The Financial Coordinator Team Lead acts as a role model and resource for financial counseling staff. This role leads activities of a financial counseling service team. The Financial Coordinator Team Lead serves as a technical expert and a resource for staff, patients, and visitors. The Team Leader maintains focus on ensuring effective operations through organizing, scheduling, and monitoring department workload. In addition, this individual will monitor work quality and productivity metrics and coordinate training as needed. while maintaining exemplary levels of customer service in accordance with the AtlantiCare Mission, Vision, and Values.
This position maintains a liaison relationship with the FQHC Revenue Cycle department to ensure ongoing performance improvement, regulatory compliance, and achievement of best practice targets.
The Financial Coordinator Team Lead has the knowledge, skill, and the ability to lead the handling of the health care marketplace exchange and NJ Medicaid Presumptive Eligibility. The position assists with enrollment of eligible consumers into eligible Health Plans. The Financial Coordinator Team Lead is responsible for understanding the initial patient registration process, conducting billing inquiries, making payment arrangements, maintaining patient financial records, and collecting co-payments, deductibles, and financial arrangements. The Financial Coordinator Team Lead will also possess the knowledge, skill, and the ability to oversee the verification of third party payor accounts, pre-authorization, and pre-certification requirements. The Financial Coordinator Team Lead communicates and collaborates with Patient Access team members and other ancillary departments as needed.
The Financial Coordinator Team Lead will be knowledgeable of state and federal government funding programs such as LOA, Medicare, Medicaid, and commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; insurance terminology; medical terminology, EMTALA, HIPAA privacy, and compliance practices.
The Financial Coordinator Team Lead possesses the knowledge and skill necessary to verify diagnosis codes, complete medical necessity checks for Medicare, complete patient estimates for the self- pay population, and provide consumer shopper comparisons.
The Financial Coordinator Team Lead is responsible for assisting, and leading the day to day operations of their site/area. The Financial Coordinator Team Lead supervises monthly/ quarterly audits with the financial coordinators and analyses and reports the findings to supervisor. The Financial Coordinator Team Lead is responsible coordinating and reporting monthly reporting on health care marketplace exchange data.
The Financial Coordinator Team Lead will serve as the point of contact for all financial assistance related questions. Communicate with patients to identify and understand financial, social, and medical histories and other relevant patient information. The Financial Coordinator Team Lead is responsible for gathering all relevant information required to process financial assistance requests; including but not limited to audits for LOA working with. Document all
communication and follow up in the EMR. The Financial Coordinator Team Lead s will assess the current financial situation of patients through the verification of patient insurance benefits; serving as the technical expert in confirming patients benefit coverage and health center reimbursement.
The Financial Coordinator Team Lead is responsible for providing feedback on daily financial processes and staffing issues to the Grant Director/ Practice Supervisor.
The Financial Coordinator Team Lead must pass annual market place recertification with a score of 80 % or above. This requirement is expected to be maintained every year. The Financial Coordinator Team Lead will be required to re-take training and exam until they obtain the appropriate grade or disciplinary action will be taken in regards to performance. The Financial Coordinator Team Lead must have an 80% or above accuracy on the annual LOA audit. This requirement is expected to be maintained continuously. Disciplinary action for performance will be taken if the requirement is not maintained.
The Financial Coordinator Team Lead can perform all job duties based on department procedure and protocol independently. Attends all recommended trainings and in-services and passes all competency tests associated with the in-services. The Financial Coordinator Team Lead is responsible for passing any additional certifications that aid in the proficiency of their designated areas such as Medicaid Presumptive Eligibility and Certified Application Counselor certifications.
The Financial Coordinator Team Lead maintains high accuracy rate A or above and established productivity rates for Key Performance Indicators (KPI) such as LOA audit. The Financial Coordinator Team Lead will aid staff in ensuring department goals and initiatives are met in regards to established productivity rates, LOA and Medicaid enrollment goals, and other KPIs established within the department. The Financial Coordinator Team Lead assists leadership in the communication of new procedures and appropriately engaging staff participation and monitoring staff compliance.
The Financial Coordinator Team Lead will attend ten hours or more self-scheduled voluntary or facilitated education sessions with ARMC or an approved outside learning opportunity in order to enhance growth and development. The Financial Coordinator Team Lead will assist in monitoring individual staff performance including coaching, mentoring, training, providing constructive feedback and be an active participant in performance improvement efforts. The Financial Coordinator Team Lead aids in providing staff education and training and is responsible for motivating and orienting staff. The Financial Coordinator Team Lead must be proficient and actively working as a preceptor in two or more specific areas of Financial Counseling. The Financial Coordinator Team Lead will be responsible for the training and precepting new hires upon onboarding.
The Financial Coordinator Team Lead must achieve Valued Contributor or Remarkable Talent on their annual evaluation with no written disciplinary documents on file. If the valued contributor rating is not achieved an action plan will be put in place to remediate the lead back to valued contributor. The Financial Coordinator Team Lead must be proficient in all requirements of Customer Service Representatives AND Maintains Certification through the determined Healthcare Financial Systems. Financial Coordinator Team Lead must maintain certification.
This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating commitment to teamwork and cooperation.
QUALIFICATIONS
EDUCATION: High School diploma required; Associate's Degree preferred. LICENSE/CERTIFICATION: Health Care Financial System required within 1 year from date of hire or transfer. EXPERIENCE: Minimum 2 years' experience in Healthcare registration preferred or relevant customer service environment required. The Financial Coordinator Team Lead must be proficient with registration processes and procedures throughout the department. Incumbents are required to maintain a Valued Contributor Performance Rating annually including no disciplinary action, to progress within Patient Access Leadership and Atlanticare. Demonstrates knowledge of gen
eral computer, and data entry functions required. Excellent communication, organizational and analytical skills required. Ability to perform job duties in a high volume fast paced environment. Candidates must continuously display professionalism, courtesy and respect to all customers that always mirror AtlantiCare's Values/Behaviors. Candidate must have reliable transportation. Ability to effectively communicate both orally and in writing sufficient to perform the essential functions; read, understand, and apply policies and guidelines; obtain information from a variety of sources is required. Bilingual preferred.
PERFORMANCE EXPECTATIONS
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.
WORK ENVIRONMENT
Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury.
This position requires reaching, stooping, kneeling, and crouching approximately 25% of the workday. This position requires frequently lifting, approximately 25-30 pounds, and occasional lifting of 50-100 pounds with assistance. This position also requires pushing and pulling computers on wheels approximately up to 100% of the day if assigned to the Emergency Department or Labor and Delivery. High volume fast-paced environment.
The essential functions for this position are listed in the Assessment and Evaluation Tool.
REPORTING RELATIONSHIP
This position reports to department leadership.
This position reports to department leadership. The above statement reflects the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
Equal employment opportunity, including veterans and individuals with disabilities.
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