The Commercial Coordinator is responsible for supporting the activities and functions of PFS training and mentoring staff to ensure that goals and objectives are met in accordance with established priorities and timeframes. The Commercial Coordinator oversees the Commercial billing and/or collections of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible. This position requires excellent customer service and communication skills with both internal and exte... more details
Title: Coord, Patient Business Svcs
Location: Fountain Valley
Department: Patient Accounting
Status: Full-time
Shift: (8hrs shift) Days/Predominately Remote
Pay Range: $27.26/hr - $39.52/hr
MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.
Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.
Position Summary
The Commercial Coordinator is responsible for supporting the activities and functions of PFS training and mentoring staff to ensure that goals and objectives are met in accordance with established priorities and timeframes. The Commercial Coordinator oversees the Commercial billing and/or collections of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible. This position requires excellent customer service and communication skills with both internal and external customers. This position takes ownership of their departments processes and eliminates barriers to ensure prompt and accurate reimbursement.
Oversees and/or performs special accounts receivable projects. Also is responsible to assist in identifying global problem areas that may impact PFS’s ability to meet its goals. Monitors the workflow to ensure operations by the patient account representatives are at an optimal level. Assists management in the development and implementation of procedures, training, and providing guidance to other employees.
Understands and utilizes many complex and varying California and Federal Statutes and regulations, guidelines, and systems. Assures appropriate billing and collections are in compliance.
The Commercial Coordinator will manage resources responsibly and work at the highest level of performance, with a commitment to continuous improvement. Is a team leader and displays positive supportive behavior.
Essential Functions and Responsibilities of the Job
- Provides day-to-day coordination of assigned PFS functions.
- Prepares staff monthly productivity as set by management to ensure goals are met.
- Assist Management by monitoring staff work queues.
- Lead staff huddles and visibility boards to assist management with staff meetings and education.
- Assist management to engage staff with Gallup Impact Plans.
- Able to perform in a leadership role when interacting with the staff.
- Investigates, documents, and resolves problems and complaints.
a. Assures problems are investigated thoroughly and in a timely manner.
b. Effective and positive system improvements are provided as part of the problem resolution.
c. Potential improvements are occasionally identified before problems arise.
d. Continuous process improvements are strived for in day-to-day activities.
e. Input on development, revision, and implementation of work area policies and procedures is provided to ensure efficient operations and compliance with regulatory standards.
- Performs responsibilities in assigned work area.
- Workload is prioritized and managed to meet established deadlines and goals.
- Accuracy and quality are maintained in daily work.
- Documentation is maintained per established requirements.
- Support is willingly given to assist other staff with daily functions.
- Assures assigned projects are completed in a timely manner as defined at the onset of the project.
- Maintain a positive and professional work environment.
- Communicates process change updates to peers and subordinates in a timely manner.
- Meetings are regularly attended with active participation.
- Teamwork and behavior supportive of team morale is consistently demonstrated.
- Productive work habits are consistently displayed.
- Participates as a team member and is accountable for own work responsibilities.
- Time off is scheduled to avoid disrupting workflow.
- Feedback is solicited and accepted in a positive manner.
- Works closely with PFS Managers in developing, implementing, and revising PFS related departmental policies and procedures.
- Able to adhere to all confidentiality policies and procedures and carries out all tasks in a pleasant and respectful manner.
- Ability to use critical thinking while reviewing Commercial billing and collection notes in the financial computer system to ensure that the appropriate action is taken within the Commercial billing and collection process to ensure correct hospital reimbursement.
- Ability to identify and trend problems in a timely manner and initiate appropriate actions to resolve problems or issues.
- Be at work and be on time.
- Follow company policies, procedures and directives.
- Interact in a positive and constructive manner.
- Prioritize and multitask.
Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
Experience
Minimum 5 years of experience and understanding of hospital contracts, exclusions and stop-loss language and calculations and hospital Commercial billing or collection processes.
Management experience a plus
Excellent written and verbal communication skills
Ability to analyze data and benefit information.
Understand and follow oral and written instructions.
Interact tactfully and courteously with the public, peers, and subordinates.
Proficient organizational and prioritization skills
Adhere and apply specific departmental policies, rules and regulations.
Education
High School diploma, GED equivalent
Business related courses, preferred.
AA Degree or medical field certificate, preferred.
