68152 - Home Care Billing Coordinator Job

Children's Health - Management Careers

Job Number: 50656

Location: Plano, TX

Date Posted: 1-12-2017

Description:

Position Summary:

This position is responsible for multiple components of the Division of Home Care professional billing practice. The incumbent will contribute to overseeing professional billing processes including policy and procedure development and implementation. Ensuring billing compliance with applicable industry guidelines through auditing, monitoring, report building, credentialing, and training Division of Pediatric faculty as needed. Will maintain knowledge of Homecare billing laws, rules and regulations to help the division make more informed business decisions. Will build relationships and foster collaboration among Children's Managed Care, Patient Financial Services, Billing Compliance and Revenue Cycle Management departments.

Job Profile:

  • Is skilled in a range of processes, procedures and systems to carry out assigned tasks or has developed deep skills in a single area
  • Understands the roles of all immediate team members and has a good understanding of how own team integrates with others
  • Regularly provides guidance and support to more junior team members on challenging problems; helps them balance their workload and apply their skills
  • Provides solutions to problems in situations that are atypical or occur infrequently based on practice and existing precedents
  • Impacts the quality, timeliness and effectiveness of the team
  • Uses discretion to modify work practices and processes to achieve results or improve efficiency
  • Clearly and accurately conveys complex information

Job Specific Responsibilities:

  • Verifies/Audits accuracy of provider charges. Reviews diagnostic and procedure coding. Works with providers to answer outstanding questions and produce additional billing documentation as needed. Processes provider billing.
  • Meets with Director of Operations and Senior Director of Home Care on a routine basis to review billing concerns and facilitate process improvement efforts. Facilitates provider education and orientation of new policies and procedures.
  • Maintains working knowledge of third party payors requirements.
  • Works with other Children's departments and systems to ensure billing is accurate and up-to-date.
  • Performs special projects as assigned by the Division of Home Care. Performs other duties as appropriate.

Experience:

  • Minimum of 3 - 5 years of related experience - Required

Education:

  • High school diploma or equivalent – Required
  • Two-year Associate’s degree or equivalent experience – Preferred

Licenses and Certifications:

  • Certified Coder - Preferred

Specific Knowledge, Skills and Abilities:

  • Maintain effectiveness when experiencing major changes in work responsibilities or environment; adjust effectively to work within new work structures, processes, requirements, or cultures.
  • Use appropriate interpersonal styles to establish effective relationships with customers and internal partners; interact with others in a way that promotes openness and trust and gives them confidence in one's intentions.
  • Ensure that the customer perspective is a driving force behind business decisions and activities; craft and implement service practices that meet customers' and own organization's needs.
  • Develop and use collaborative relationships to facilitate the accomplishment of work goals.
  • Identify and understand issues, problems, and opportunities; compare data from different sources to draw conclusions; use effective approaches for choosing a course of action or developing appropriate solutions; take action that is consistent with available facts, constraints, and probable consequences.
  • Take prompt action to accomplish objectives; take action to achieve goals beyond what is required; be proactive.
  • Deal effectively with others in an antagonistic situation; use appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.
  • Effectively manage one's time and resources to ensure that work is completed efficiently.
  • Accomplish tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
  • Set high standards of performance for self and others; assume responsibility and accountability for successfully completing assignments or tasks; self impose standards of excellence rather than having standards imposed.
  • Assimilate and apply new job-related information in a timely manner.
  • Clearly convey information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.


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