PFS AR Coordinator

Summary:

The PFS AR Coordinator reports to the PFS Manager. The PFS AR Coordinator is responsible for coordinating staff training reviewing older accounts to resolve and/or identify trends working with Brown University Health*s Contracting team and payer representative to resolve complex issues and recommend process improvements solutions and efficiencies. Duties may include but are not limited to working in work queues developing training materials testing new Epic build staying abreast of payer updates and assisting with audits. The AR Coordinator must possess a thorough understanding of coding/billing rules and regulations and be able to communicate professionally with all people with whom he/she deals.

Responsibilities:

The PFS AR Coordinator may be privy to employee and/or revenue specific data and must maintain confidentiality and professionalism at all times.

Works closely with PFS Manager Supervisors and staff. May also work with Contracting Practice employees the payers and other Brown University Health departments. Maintains clear and accurate records of communications with payers and others. Tracks other important data as needed.

Identifies trends and issues and suggests solutions to Manager. May assist Management in implementation and monitoring of those solutions.

Develop training material and present education as Manager deems necessary. Update training material as needed in order to keep training material current.

Assists Management with updating Policy & Procedure Manual. Policy & Procedure Manual should be reviewed annually (at minimum) and updated as needed.

Orient and train new staff. Assist in re-training existing staff as Management deems necessary.

Assists supervisors with staff audits ensuring all denials are worked according to policies and procedures. Record results of audits and provides completed audit information to Manager and Supervisors so they can address outcomes with the staff.

Use various software applications such as spreadsheets and relational databases to assemble manipulate and/or format semi-complex data and reports whenever necessary.

Under direction of the PFS Manager participates in special projects for workflow enhancements for entire department as needed.

Performs other duties assigned.

Other information:

BASIC KNOWLEDGE:

High school graduate with knowledge of medical business office practices proficient in medical systems and additional training or experience in healthcare billing/coding. Associate*s degree in accounting medical office practices or computer science preferred.

EXPERIENCE:

Three to five years* experience in hospital and/or physician revenue cycle. Experience and knowledge in the use of software applications databases and spreadsheets. Knowledge of third party payment issues as well as effective communication and organizational skills. Knowledge of Access Database management and Epic preferred but not required.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Work is performed in a typical office setting requiring extensive sitting. Position requires ability to speak see and hear within normal range.

Incumbent functions independently within Brown University Health's payment policies and procedures referring specific problems to PFS Manager.

SUPERVISORY RESPONSIBILITY:

None

Brown University Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Brown University Health Corporate Services USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union