Description
YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION! External Agent Coordinator Location Address: 900 Winderley Place, Maitland FL Top Reasons to work at AdventHealth - Career growth and advancement potential
- Full time hours with Benefits
- Conveniently located near i-4 and Apopka expressway 414
- We have Positive values with a productive and energetic atmosphere
Work Hours/Shift: - Full Time/ Days Monday- Friday
PRINCIPAL DUTIES AND JOB RESPONSIBILITIES: Demonstrates, through behavior, Florida Hospitalâ™s core values of Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork. - Serves as primary point of contact for all agency staff, providing exemplary customer service and facilitates communication between Florida Hospital Revenue Cycle and Early Out/Bad Debt Agencies Early Out/Bad Debt Agencies as well as Extended Funding Vendors, timely and appropriately. Coordinates research with internal and external departments to ensure resolution on Bad Debt/Early Out and Extended Funding account escalations and recalls. Communicates with departments in a professional and courteous manner ensuring accurate details and information are provided.
- Examines and stays abreast of changes in agency contracts. Receives invoices monthly for payment directly from agencies. Ensures invoicing from agencies are accurate prior to Florida Hospitalâ™s payment and facilitates payments as determined through agreements and aligned with account reconciliation reports.
- Analyzes an account exception report, to determine cause of any failed patient account transfers to collection or extended funding agencies. Takes appropriate actions to ensure the accounts are scheduled to transfer in next and appropriate billing cycle. Creates reports and performs weekly audit in order to track accounts with agencies are billed to insurance within timelines set by contracts and agreements. Educates PA/PFS team of inconsistencies in processing.
- Works closely with FH AIT, Business Analytics, and PA/PFS Systems Support to ensure appropriate inventory placement and reporting on a regular basis. Troubleshoot file and vendor access issues. Analyzes accounts on a daily basis to apply fees, apply flags, work with Ins Reimbursement team for accurate payor billing, and/or recall accounts as necessary. Analyzes error trends, statistics, and shares outcomes with leadership.
- Follows up on correspondence to appropriately work patient accounts, ensure recalls are appropriate for account, and correlate and mail agency bills. Assists PA/PFS with patient or account concerns/questions to ensure prompt and accurate resolution is achieved. Produces written correspondence to agencies and patients regarding status of account, requesting additional information, etc.
- Acts as a liaison between the Revenue Cycle and external agencies with an objective point of view ensuring the most appropriate resolution for the patient and for Florida Hospital. Participates in agency phone calls or meetings to discuss issues or processes. Identify trends and opportunities for operational changes to reduce unnecessary concerns and advises leadership often.
- Actively understands FH PA/PFS insurance reimbursement and registration processes. Reviews previous account documentation, determining appropriate action(s) necessary to resolve each assigned account. Initiates next billing, follow-up and/or collection step(s), this is not limited to calling patients, insurers or employers, as appropriate. Documents billing, follow-up and/or collection step(s) that are taken and all measures to resolve assigned accounts, including escalation to Supervisor/Manager if necessary.
- Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account.
Qualifications
EDUCATION AND EXPERIENCE REQUIRED: EDUCATION AND EXPERIENCE PREFERRED: - High School Diploma or GED
- Associates Degree in Healthcare Administration, HIM, Information Technology, Health Science, or related work field.
Job Summary: Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. The External Agency Coordinator Serves as primary point of contact for all agency staff, providing exemplary customer service and facilitates communication between AdventHealth Revenue Cycle and Early Out/Bad Debt Agencies Early Out/Bad Debt Agencies as well as Extended Funding Vendors. Coordinates research with internal and external departments to ensure resolution on Bad Debt/Early Out and Extended Funding account escalations and recalls. Ensures invoicing from agencies are accurate prior to AdventHealthâ™s payment and facilitates payments as determined through agreements. Works closely with ADVENTHEALTH AIT, Business Analytics, and PA/PFS Systems Support to ensure appropriate inventory placement and reporting on a regular basis. Follows up on correspondence to appropriately work patient accounts assigned to external agencies for collections or funding, ensure recalls are appropriate for accounts, and correlate and mail agency bills. Assists PA/PFS with patient or account concerns/questions to ensure prompt and accurate resolution is achieved. Communicates with departments in a professional and courteous manner ensuring accurate details and information are provided.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. |