Melville, NY, 11747, USA
3 days ago
Infusion Coordinator
Overview Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details Under the direction of the Director and/or Manager, the Infusion Coordinator facilitates, maintains, and manages the infusion AR across the Catholic Health System’s commercial payer landscape. This position will also support the Director and/or Manager in managing staff, work in progress, and all relevant areas that entail infusion AR management. PERFORMANCE RESPONSIBILITIES Responsible for the day-to-day management of multi-million insurance infusion A/R portfolio inclusive of debit and credit balances (currently over $16M). Responsible for oversight of a team with expectations to support their growth and development Works closely with the infusion leadership team to research, develop and implement various strategic initiatives to mitigate risks for infusion related A/R. Ability to recommend process improvement and optimization. Lead A/R discussions in the form of a subcommittee to manage open/new trends in the infusion A/R; ability to report infusion denial trends to leadership in a concise manner for escalation discussions; collaborate with cross-functional teams to address and resolve these trends effectively Compiles and organizes statistical data related to infusion staff productivity and quality. Identifies and communicates both positive and negative trends and participates in staff performance discussions as requested. Understands emerging risks with infusion A/R; develops, tests and implements new controls when required. Builds and maintains professional relationship with the vendor management team and payers to optimize infusion vendor placement criteria Serves as a point of contact, as assigned, for infusion-related issues, including denials, adjustments, insurance issues, and other insurance related vendors. Adheres to all organizational policies and procedure. Performs other duties as requested. POSITION REQUIREMENTS AND QUALIFICATIONS: Education: High School diploma. Bachelor’s degree preferred. Experience: A minimum of three years' experience in healthcare reimbursement, healthcare customer service, or a related field. Demonstratable understanding of Healthcare AR management and ability to read and understand payer contractual language. Knowledge of healthcare accounts receivable and revenue cycle processes. Knowledge of infusion services in a healthcare setting is a plus Experience with data analysis in healthcare required. Licensure/Certification: Industry certification (AHIMA, HFMA, AAPC, etc.) preferred Skills: Strong computer skills and some experience in data analysis, as well as ability to build fluency in multiple healthcare technology and accounts receivable systems. Strong knowledge of medical insurance and healthcare reimbursement, including knowledge of and adherence to HIPPA regulations, knowledge of third party operations, and knowledge of CPT, ICD 10 utilized in medical billing and medical billing terminology. Ability to set priorities and work independently, exercising good judgment, and multi-task in a fast-paced service environment with patients, insurance carriers, and leadership. Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm. Excellent verbal and written communications skills in order to interact with all levels of customers both internal and external. Excellent customer service skills to work effectively with insurance carriers, patients, leadership and colleagues. Analytical problem-solving skills and an attention to detail. Understanding of legal contracts Knowledge of escalation procedures when payer is not performing according to contract/service level agreements Salary Range USD $65,000.00 - USD $100,000.00 /Yr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.
Confirmar seu email: Enviar Email