Financial Resource Coordinator

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The coordinator shall be designated member of assigned signature area. They will maintain the primary responsibility for coordinating all financial and managed care aspects of the patient experience across the continuum of the patient care encounter. This position interprets and applies financial policies to make appropriate financial decisions and payment arrangements to ensure the financial viability. Provides financial education regarding benefits to clinicians, patients and families in understanding their personal financial liability.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High school diploma or equivalent.

2. Certified Revenue Cycle Representative (CRCR) certification through Healthcare Financial Management Association within one (1) year of hire.

EXPERIENCE:

1. One (1) year of Healthcare finance experience.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor degree in business, health information or related field.

EXPERIENCE:

1. Five (5) years of financial counseling experience.

2. Experience in Revenue Cycle.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Acts as a resource for patients and their family members on financial and managed care matters.

2. Research financial assistance program options and completes all necessary documentation for enrollment.

3. Coordinator will work with other team members on financial clearance matters including; nurses, physicians, financial leaders, and other key stake holders.

4. The coordinator will work with patients and families beginning at the point of referral/pre-authorization to ensure all opportunities for financial resolution and communication are met.

5. Knowledge on CPT/ICD codes for assigned service area to ensure appropriate understating and compliance.

6. Understand and comply with Patient Access/Utilization Review/Patient Finance procedures as they apply to financial resolution.

7. Projects a mature problem-solving response while dealing with interpersonal conflict, medically compromised individuals, dissatisfied patients and stringent time demands.

8. Audits patient accounts to ensure financial arrangements, assistance, and appropriately applied to encounter.

9. Completes patient estimates when needed for families, patients, and insurance companies.

10. Complete necessary education and certification as warranted by the assigned signature service area to ensure knowledge and adherence to regulations.

11. Superior computer and writing skills that effectively project positive and a customer centered interaction.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Frequent walking, standing, stooping, kneeling, reaching, pushing, lifting, grasping and feeling are necessary body movements utilized in performing duties through the work shift.

2. Must be able to sit for extended periods of time.

3. Visual acuity must be within normal range.

4. Must have manual dexterity to operate keyboards, fax machine, telephone and other business machines.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.                                 

SKILLS AND ABILITIES:

1. Good communication skills are necessary to interact effectively with management, staff and external customers.

2. Extensive knowledge of personal computers and Microsoft Excel and Access software preferred.

3. Familiarity with medical terminology.

4. Able to work independently.

5. Must be able to read and write in legible English.

6. Must have reading and comprehension ability.

7. Must be able to communicate effectively.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

545 WVUH Patient Access

Address:

1 Medical Center Drive

Morgantown

West Virginia

Equal Opportunity Employer

 

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.