Operations Coordinator, Patient Accounting

🔥 13 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $30 - $42 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

👻 Ghost score 0%

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Northwestern Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $25M Grant on 2018-06

Healthcare • Healthcare Insurance • Pharmaceuticals

Northwestern Medicine is a renowned healthcare provider offering a wide range of medical services, including COVID-19 and flu vaccinations, cutting-edge treatments, and pioneering surgical procedures. The organization is deeply involved in clinical research, contributing to significant medical advancements such as exploring the causes of diseases like lupus and breakthroughs in cancer treatment. With a robust network of hospitals and specialized care centers, Northwestern Medicine is dedicated to patient wellness, community impact, and medical education. They emphasize accessibility, patient safety, and convenience through services like telehealth, financial assistance, and multilingual support. Whether it's immediate care, advanced procedures, or multidisciplinary care for complex conditions, Northwestern Medicine is committed to leading the way in healthcare innovation and patient-centered care.

📋 Description

• Provide leadership and professional expertise for Patient Accounting Billing & Follow-up staff • Oversee claim edits, bill readiness, compliant bill submission, clinical documentation requirements, timely filing, and claim accuracy • Follow up on and collect third-party payer receivables and track third-party yields • Manage denials and appeals, including root-cause analysis and denial prevention • Conduct compliant correspondence with third-party payers regarding outstanding accounts receivable • Manage operations for third-party accounts receivable across managed care, commercial, Medicare, Medicaid, replacement plans, workers’ compensation, corporate, research, and specialty accounts • Ensure adherence to regulatory billing requirements, including HIPAA, patient privacy, and ACA consumer protections • Serve as a subject matter expert improving revenue-cycle workflows across Cerner, PRMES, Epic, MethodCare, PassPort, ScriptPro, Recondo, 3M, and MedAssets • Organize, schedule, supervise, assign, and review staff work for accuracy, completeness, and timely account documentation • Assist with productivity and quality goals, department policies and procedures, administrative and operational objectives, and performance reporting • Generate and monitor daily, weekly, and monthly reports; adjust schedules to meet department goals • Provide updates to the Patient Accounting Manager on staff performance, AR aging, days in AR, cash collections, backlogs, and process-improvement initiatives • Manage people, processes, and projects to achieve Patient Accounting department strategies and goals • Ensure adequate staffing and shift personnel for maximum efficiency • Evaluate staff adherence to standards and provide feedback and counsel • Support billing and account follow-up during absences or backlogs; identify root causes and arrange education, IT escalation, or resource escalation • Establish and enforce cross-training schedules • Attend assigned and approved training and seminars • Act as second-level escalation point for operational issues and customer complaints; recommend corrective services • Assist with recruiting, interviewing, hiring, training, reviewing, promoting, and disciplining Customer Service staff • Handle PTO requests, schedules, staff hours and pay, and timesheet verification for payroll • Enhance customer service for external and internal customers • Communicate with management, staff, vendors, attorneys, insurance companies, and internal departments • Test system updates related to customer service and self-pay and provide feedback to IT • Monitor and manage department expenses and budget • Continuously improve processes and ensure timely patient interactions to improve satisfaction

🎯 Requirements

• Bachelor’s degree in an applicable field of study, or equivalent work experience • Minimum of five (5) years of progressive work experience with a call center, patient customer service, and/or self-pay collections with supervisory experience • Knowledge of hospital and physician base patient management and automated systems • Ability to effectively supervise a team composed of direct and indirect reporting relationships • Ability to perform mathematical calculations • Excellent communication skills when dealing with patients, authorized guarantors, public, co-workers, and professional offices • Advanced knowledge of medical terminology, insurance plan payment practices and billing requirements • Extensive experience and knowledge of PC applications, including Microsoft Office and Excel • Knowledge and detailed understanding of all negotiated agreements • High-level problem solving, analytical, and investigational skills • Excellent internal/external customer service skills • Excellent oral and written comprehension and expression • Knowledge of Epic Systems preferred • Knowledge of Epic’s Single Billing Office module preferred • Knowledge of LEAN/Six Sigma process improvement methodologies preferred • Detail-oriented, good organizational skills, and ability to be self-directed preferred • Strong time management skills and ability to manage multiple priorities and a heavy workload in a high-stress atmosphere preferred • Flexibility to perform other tasks as needed in an active work environment with changing work needs preferred • Knowledge of NMHC systems preferred • Knowledge of NMHC policies and procedures preferred • Successful completion of required background check • Compliance with applicable employment, healthcare, billing, privacy, and regulatory requirements

🏖️ Benefits

• Competitive benefits • Tuition reimbursement • Loan forgiveness • 401(k) matching • Lifecycle benefits • Sign-on bonus may be offered (eligibility restrictions apply)