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University of Rochester Medical Center · 2 months ago

Department Coordinator IV

Rochester, New York Metropolitan Area

Full-time

Onsite

Mid Level

$21.36/hr - $29.90/hr

3+ years exp

The University of Rochester Medical Center is dedicated to creating a welcoming community and is seeking a Department Coordinator IV. This role involves managing financial operations, coordinating contracts, and ensuring timely billing processes while providing support to various stakeholders in the healthcare environment.

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Responsibilities

Manage the review, coordination, and process for third-party contract invoices and billing, ensuring timely processing and reconciliation (FF Thompson, Noyes, RGH NNP, Unity Health, telemedicine agreements, etc.). Regulate record of department contracts and initiate renewals; research fair market value reviews, collaborate with Director of Contracting, UR Legal, Division Administration and third-party companies to negotiate renewals. Govern mid-contract changes or updates as well as serve as support for new contract negotiations. (25%)

Employ and utilize Tableau and EPIC for operational metrics. Advise Division Chiefs/Administrators on corrective action plans for financial operation issues. Implement ad-hoc data and information to providers and administrators utilizing EPIC/Tableau. Communicate direction and financial data to guide new program development. Provide payer data needed for business plans and/or budget to support the purchase of new equipment and hiring of new staff or expanding service lines. Ex. Donor milk, Telemedicine. (20%)

Partner with URMFG Payer Enrollment group and the Medical Staff Services Office to credential new providers with third party payers to ensure reimbursement for services provided. Serve as the liaison between the new provider, payer enrollment, divisional administration, EPIC system staff and Revenue Cycle Advisor to ensure timely payer enrollment. (15%)

Process quarterly hospital revenue transfers for services funded by department but billed through hospital system. Point of contact for ambulance companies who transport high risk neonates to and from Golisano Children’s Hospital NICU. Evaluate requests for payment for all ambulance transfers of newborns to and from Strong Hospital. Differentiate appropriate FAO to cover the costs, provide private insurance info to third party and send requests to SMH Accounts Payable for transports with Medicaid based coverage. Charge enter Medicaid based coverage transports into EPIC billing system. (15%)

Lead for patients’ families, social work, divisional staff, and providers in answering all billing questions, resolving disputes and obstacles to care. Work closely with the UBO Patient Call Center on billing related issues. (5%)

Oversee and manage pediatric procedure room log in EPIC to ensure procedure and recovery times are appropriately documented for posting of charges (5%)

Control work queue during synagis season to ensure timely billing of high-priced immunization (5%)

Manage signatures and serve as notary for the department of pediatric providers for Medicaid Electronic Recertification forms as well as any others. (5%)

Point of contact for several payer sites, utilized to provide sign-on for those sites for the department of pediatric staff needing access. Troubleshoot issues with said payer websites for access and management for multiple tax identifications. Collect and process correspondence sent to the billing box number. (5%)

Qualification

AccountingBusiness AdministrationRevenue Cycle ProcessAnalytical SkillsEPARCMcKesson AnalyticsExcelCommunication SkillsTableauEPICUR FinancialsCognosPEDS SharepointERecord