Reimbursement Coordinator II- Self Pay

By joining our team, you'll be part of our life-changing Mission and Vision. You'll work in a truly inclusive environment where diversity and equity are championed through words and actions. You'll contribute to an innovative culture that is second to none, one that embraces curiosity, discovery and compassion. You'll play a role in something that's never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes - as we Advance Human Ability, together.

Job Description Summary

The Reimbursement Coordinator II will work to ensure timely and accurate disposition on accounts receivables for Shirley Ryan Ability Lab physicians. The Reimbursement Coordinator II will perform functions that assist in reducing the open receivables, including complex billing, collections, appeals and/cash posting, ensuring compliance with insurance payers, SRAlab policies and good customer service to our patients.

The Reimbursement Coordinator II will consistently demonstrate support of the Shirley Ryan AbilityLab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.

The Reimbursement Coordinator II will demonstrate Shirley Ryan AbilityLab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and Core Values (Hope, Compassion, Discovery, Collaboration, & Commitment to Excellence) while fulfilling job duties.

Job Description

The Reimbursement Coordinator II will:

• Process billing and/or authorizations for all financial classes including Commercial, Federal, and State plans, as assigned, ensuring confidentiality of patient billing information and HIPPA compliance.

• Obtain and track claim or authorization status via online portals and via phone.

• Compose and follow up on claim appeals.

• Identify, address, submit or process adjustments, over payments and outstanding balances, as appropriate.

• Review of Insurance Explanation of Benefits to facilitate account resolution.

• Allocate co-insurance and deductible appropriately within the Cerner system, as appropriate.

• Review and address incoming mail correspondence

• May provide assistance and support regarding charity care guidelines to SRA Lab physicians and hospital operational leadership.

• May meet with patients and families as needed regarding financial assistance/charity care program .

• Ensures compliance with insurance payer guidelines.

• Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.

Reporting Relationships

• Reports to Manager, Customer Service

Knowledge, Skills & Abilities Required:

• Educational level appropriate with what is typically gained through the acquisition of a High School Diploma. Associates degree preferred.

• Minimum 3 years of experience with hospital billing and/or collecting from health insurance carriers.

• Knowledge of governmental billing regulations preferred.

• Previous experience with insurance collections, appeals, follow-up in hospital setting.

• Familiar with UB-04 and HCFA 1500 billing regulations, as appropriate.

• Ability to build relationships with insurance carriers and representatives

• Understands business implications of decisions

• Maintain all production standards as outlined for assigned work

• Ability to keep up to date with insurance billing regulation changes as assigned.

• Ability to quickly learn to bill specific financial classes/Payors as assigned.

• Previous experience with functions and responsibilities associated with coordination of charity preferred

• Excellent verbal and written communication skills.

• Ability to perform basic mathematical functions.

Working Conditions

Normal office environment with little or no exposure to dust or extreme temperature.

Pay and Benefits*:

Pay Range: Minimum $19.56 per hour - Maximum $33.43 per hour

Benefits: Shirley Ryan AbilityLab offers a comprehensive benefits program that is competitive with our industry peers in our geographic locations: https://www.sralab.org/benefits

• Benefits and benefits' eligibility can vary by position. Actual compensation will vary based on applicant's experience and qualifications, as well as internal equity.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Equal Employment Opportunity

ShirleyRyan AbilityLab is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.