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Rochester Regional Health · 10 hours ago

Administrative Coordinator

Rochester, NY

Part-time

Onsite

Entry Level

$19/hr - $25/hr

1+ years exp

Rochester Regional Health is a healthcare organization seeking an Administrative Coordinator for their Imaging Services department. The role involves supporting office processes, overseeing third party payor reviews, and collaborating with various departments to ensure authorization requirements are met.

Health CareHospitalMedicalPrimary and Urgent CareWellness

Responsibilities

Oversees the review process of third party payors with oversight from the Director of Care Management. Provides daily oversight of the onsite review activities of third party payors identifying issues and cases for appeal

Collaborates and acts as liaison with Patient Access and Patient Financial Services to assure required authorizations requirements of Third Party Payors are maintained

Participates and supports the medical management department in the tracking, trending and reporting of appeals and charge recovery information

Conducts reviews of cost outliers and collaborates with other hospital operating areas to recover billed charges. Tracks reporting activities and prepares reports for management presentation

Provides ongoing support for the tracking and trending of the Reimbursement Specialist charge recovery activities

Assists with special projects including but not limited to data collection, compilation, and analysis as defined by management. Assists in the design and implementation of procedures and work plan for special medical management studies/reports required to ensure regulatory compliance

Provides ongoing support to the Utilization Committee as assigned

Provide ongoing resource and support to the department for clinical pathway process including tool development

Manages confidential information in accordance with RGHS policy and procedures

Screen patients at risk with no, or inadequate health insurance coverage for immediate and chronic needs

Implements plan to facilitate eligibility

Represents Rochester General Medical Group to all Affiliates, employees, families and the community, in a professional manner as demonstrated by feedback from these sources. Participates in community activities such as health fairs as directed by Grant Coordinator

Educates other hospital staff concerning job role, community-base, entitlement programs, etc

Performs other duties as required

Qualification

Healthcare administrationBilingualCMS billingMedicaid/Medicare billingPC proficiencyReporting tools proficiencyCommunication skillsOrganizational skillsProblem solving skills

Required

Participates and supports oversight of office processes of the Medical Management Department to maintain daily operations

Oversees the daily review process of the third party payors ensuring information is tracked and trended for reporting purposes

Acts as a liaison and collaborates with Patient Financial Services and Patient Access to assure authorization requirements of third party payors are maintained

Creates departmental reports for senior management

Oversees the review process of third party payors with oversight from the Director of Care Management

Provides daily oversight of the onsite review activities of third party payors identifying issues and cases for appeal

Collaborates and acts as liaison with Patient Access and Patient Financial Services to assure required authorizations requirements of Third Party Payors are maintained

Participates and supports the medical management department in the tracking, trending and reporting of appeals and charge recovery information

Conducts reviews of cost outliers and collaborates with other hospital operating areas to recover billed charges

Tracks reporting activities and prepares reports for management presentation

Provides ongoing support for the tracking and trending of the Reimbursement Specialist charge recovery activities

Assists with special projects including but not limited to data collection, compilation, and analysis as defined by management

Assists in the design and implementation of procedures and work plan for special medical management studies/reports required to ensure regulatory compliance