Finance Coordinator I, Reproduction and Infertility

Finance Coordinator I

Position Highlights:

• Shift Schedule:Full Time (40 hours), Monday-Friday
• Department:Reproduction and Infertility
• Location: Atrium Health Wake Forest Baptist

What We Offer:

• Generous PTO:Accrue up to 25 days/year, to be used for vacations, sickness, holidays, and personal matters.
• Education Reimbursement:We invest in your professional growth, offering up to $2,500 per year towards a bachelor's degree and up to $5,000 per year towards a graduate degree.
• Wellness Incentives:Take advantage of up to $1,350 per year in wellness incentives through our LiveWELL program, prioritizing your well-being.
• Parental Benefits:We understand the importance of family, providing six weeks of paid birthing-mother maternity leave and four weeks of paid parental leave.
• Retirement:Secure your financial future with up to 7% employer-paid retirement contributions.

What You'll Do: Performs duties of moderate complexity, judgement, and scope in coordinating and managing all aspects related to insurance benefit information, authorization, billing and collections for all types of services. Will serve as a resource to patients and their families, clinical staff, physicians and insurance companies.

• Coordinates and manages the billing and collection functions for all payor types.
• Notifies physician offices of contract periods, identifies and monitors accounts, determines correct reimbursement, bundles all bills for submittal to insurance companies, rebills claims as necessary, followings up on claim status, performs regular account maintenance, collects and distributes payments appropriately.
• Researches insurance benefits, options and potential patient financial needs and discusses findings with patients and their families.
• Develops a financial plan with patients and their families.
• Works with patients and develops resolutions to potential patient financial out-of-pocket exposure and helps them plan and overcome these obstacles.
• Obtains all necessary payer authorizations.
• Verifies and monitors coverage and other medical benefits and acquires necessary referrals and authorizations.
• Ensures that all payor approvals are current at all times.
• Verify insurance coverage and fertility benefits/exclusions for diagnostics, treatments. Create summary of benefits for EHR documentation and patient messages.
• Perform financial consults (tele) with patients to discuss coverage, exclusions, self-pay rates, etc.
• Obtain related medical prior authorizations in accordance with plan policies.
• Answer patient/provider/staff billing inquiries, or escalate when appropriate.
• Collect prepayments in full for self-pay patients.
• Communicate with clinical staff regarding plans of care, financial clearance.
• Enter embryology charges from fee tickets in a timely manner.

What You'll Need:

• Bachelor's Degree in Accounting, Finance or related field or 5 years of insurance related experience required.
• 1 to 2 years of reimbursement experience in a hospital setting is preferred.
• Must be able to work independently and possess strong organizational, time management and interpersonal skills and be able to prepare and analyze financial reports.
• Must be proficient with medical terminology and be familiar with clinical considerations as these relate to transplant cases.
• Extensive analytical skills and focus on details.
• Excellent written and oral communication skills required.
• Microsoft Excel, Word, STAR and IDX experience required.
• Databases, hospital registration, billing and clinical systems preferred.

The ideal candidate will also possess the following skills:

• Demonstrates knowledge of the principles of growth and development and demonstrates the skills and competency appropriate to the ages, culture, developmental stages, and special needs of the patient population served.

Pay Range

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program