Lead Patient Financial Coordinator - Med Center Health

• Position Summary

  • Coordinates and oversees the activities of the Patient Financial Coordinators. Ensures that Coordinators are accurately and appropriately assisting patients and their representative(s).

    Assists patients and their representative(s) in obtaining Medicaid. Discusses available programs and assists patients in understanding their financial responsibility. Supports and assists patients and their representative(s) with necessary forms and documentation.

• Minimum Qualifications
  • Work Experience

    • One year of experience in a Hospital Financial Counselor or similar position required.

    • Previous supervisory experience strongly preferred.
  • 
    Education
    • Bachelor’s degree preferred.
  • 
    Certifications/Licensure

    • KYNECTOR Certification required within 1 month of hire or placement.

• Leadership Performance Standards
  • Delivering Results
    • Oversees and provides direction to staff members related to completion of work, work schedules, and work assignments within established policies and procedures of Med Center Health.
    • Provides leadership in problem identification and resolution, and coordinates resolutions in collaboration with department leader.
  • Staffing and Development
    • Assists with hiring, training, development, and retention of employees who have the appropriate level of job knowledge, skill and overall fit to the department and to the organization.
    • Communicates job performance expectations and provides performance feedback that facilitates development.
    • Provides input in the completion of and the delivery of employee performance evaluations and actively addresses employee performance concerns through conflict-resolution.
  • Cultivating a Strong Workplace
    • Actively champions employee engagement.
    • Is well aware of employee morale and intervenes appropriately to maintain high levels of employee morale and engagement.
    • Fosters a team atmosphere and facilitates open communications to support Med Center Health’s mission, vision and values.
    • Encourages teamwork among staff; facilitates resolution of team conflicts and promotes respect between all team members and across the organization.
  • Financial Performance
    • Provides input in the development and management of the department budget.
    • Assists department leader with analyzing costs, developing programs to assure compliance with budgetary constraints and providing justifications for budget variances.
• Job Specific Performance Standards
  • The duties listed below are a summary of the major essential functions of this position. The position may require other duties, both major and minor, that are not mentioned, and specific functions may change from time to time.
    
    • Evaluates high impact, high risk departments such as Oncology and Chemo Infusion for improvements and executes such improvements in all aspects of the Financial Assistance program. This may include developing new processes related to prior authorizations, medical necessity, and charitable programs through drug manufacturers or care networks that assist patients with the cost of their medical care.
    • Processes Financial Assistance applications for all facilities to determine approval/denial. Communicates with patient the outcome of application review. Adjusts patient balances accordingly. Scans applications into Perceptive Content for retention.
    • Interacts with other departments (UR/UM, Social Workers, CFR) including providing daily reports for proper communication regarding patient accounts.
    • Acts as liaison with Fairview Community Health Clinic and Community Clinic to ensure patient visits are covered prior to service date through Medicaid or Financial Assistance.
    • Creates daily reports for staff to ensure self-pay accounts are captured and worked in a timely manner.
    • Independently audits accounts to ensure PFA coordinators work accounts in an effective and appropriate time frame.
    • Compiles and reports month end stats to Director.
    • Submits required quarterly CAC report to the Kentucky Health Benefit Exchange.
    • Acts as Designated Organization Administrator via the Medicaid Kynnect and Kentucky Online Gateway sites.
    • Suggests and executes organizational improvements to the PFA process with the goal of qualifying increasing the insured patient population in MCH service areas.

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