Team Lead Financial Coordinator - FQHC

POSITION SUMMARY

The Financial Coordinator Team Lead acts as a role model and resource for financial counseling staff. This role leads activities of a financial counseling service team. The Financial Coordinator Team Lead serves as a technical expert and a resource for staff, patients, and visitors. The Team Leader maintains focus on ensuring effective operations through organizing scheduling and monitoring department workload. In addition, this individual will monitor work quality and productivity metrics and coordinate training as needed. While maintaining exemplary levels of customer service in accordance with the AtlantiCare Mission, Vision, and Values.

This position maintains a liaison relationship with the FQHC Revenue Cycle department to ensure ongoing performance improvement, regulatory compliance, and achievement of best practice targets.

Financial Coordinator Team Lead Responsibilities

• Lead the handling of the health care marketplace exchange and NJ Medicaid Presumptive Eligibility.
• Assist with enrollment of eligible consumers into eligible Health Plans.
• Understand the initial patient registration process, conduct billing inquiries, make payment arrangements, maintain patient financial records, and collect co-payments, deductibles, and financial arrangements.
• Oversee the verification of third-party payor accounts, pre-authorization, and pre-certification requirements.
• Communicate and collaborate with Patient Access team members and other ancillary departments as needed.

Knowledge and Skills

• Knowledgeable of state and federal government funding programs, such as LOA, Medicare, Medicaid, and commercial insurance payers, billing, and reimbursement guidelines and methodologies for state and federal government and non-government payers, insurance terminology, medical terminology, EMTALA, HIPAA, privacy, and compliance practices.
• Possess the knowledge and skill necessary to verify diagnosis codes, complete medical necessity checks for Medicare, complete patient estimates for the self-pay population, and provide consumer shopper comparisons.

Day-to-Day Operations

• Assist and lead the day-to-day operations of their site/area.
• Supervise monthly, quarterly audits with the financial coordinators and analyze and report the findings to the supervisor.
• Coordinate and report monthly reporting on health care marketplace exchange data.

Financial Assistance

• Serve as the point of contact for all financial assistance-related questions.
• Communicate with patients to identify and understand financial, social, and medical histories and other relevant patient information.
• Gather all relevant information required to process financial assistance requests, including but not limited to audits for LOA, working with.
• Document all communication and follow-up in the EMR.
• Assess the current financial situation of patients through the verification of patient insurance benefits, serving as the technical expert in confirming patients benefit coverage and health center reimbursement.

Performance Expectations

• Pass annual marketplace recertification with a score of 80 or above.
• Maintain an 80 or above accuracy on the annual LOA audit.
• Perform all job duties based on department procedure and protocol independently.
• Attend all recommended trainings and in-services and pass all competency tests associated with the in-services.
• Pass any additional certifications that aid in the proficiency of their designated areas, such as Medicaid Presumptive Eligibility and Certified Application Counselor certifications.

Productivity and Performance

• Maintain high accuracy rates (A or above) and established productivity rates for Key Performance Indicators (KPIs) such as LOA audit.
• Aid staff in ensuring department goals and initiatives are met in regards to established productivity rates, LOA, and Medicaid enrollment goals, and other KPIs established within the department.
• Assist leadership in the communication of new procedures and appropriately engaging staff participation and monitoring staff compliance.

Professional Development

• Attend ten hours or more self-scheduled, voluntary, or facilitated education sessions with ARMC or an approved outside learning opportunity in order to enhance growth and development.
• Assist in monitoring individual staff performance, including coaching, mentoring, training, providing constructive feedback, and be an active participant in performance improvement efforts.
• Aid in providing staff education and training and is responsible for motivating and orienting staff.
• Must be proficient and actively working as a preceptor in two or more specific areas of Financial Counseling.
• Will be responsible for the training and precepting new hires upon onboarding.

Annual Evaluation

• Must achieve Valued Contributor or Remarkable Talent on their annual evaluation with no written disciplinary documents on file.
• If the valued contributor rating is not achieved, an action plan will be put in place to remediate the lead back to valued contributor.
• Must be proficient in all requirements of Customer Service Representatives and maintain Certification through the determined Healthcare Financial Systems.

QUALIFICATIONS

EDUCATION

• High School diploma required
• Associates Degree preferred

LICENSE/CERTIFICATION

• Health Care Financial System required within 1 year from date of hire or transfer

EXPERIENCE

• Minimum 2 years experience in Healthcare registration preferred or relevant customer service environment required
• The Financial Coordinator Team Lead must be proficient with registration processes and procedures throughout the department.
• Incumbents are required to maintain a Valued Contributor Performance Rating annually, including no disciplinary action, to progress within Patient Access Leadership and Atlanticare.
• Demonstrates knowledge of general computer and data entry functions required.
• Excellent communication, organizational, and analytical skills required.
• Ability to perform job duties in a high-volume, fast-paced environment.
• Candidates must continuously display professionalism, courtesy, and respect to all customers that always mirror AtlantiCares Values and Behaviors.
• Candidate must have reliable transportation.
• Ability to effectively communicate both orally and in writing, sufficient to perform the essential functions, read, understand, and apply policies and guidelines, obtain information from a variety of sources, is required.
• Bilingual preferred.

PERFORMANCE EXPECTATIONS

• Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.

WORK ENVIRONMENT

• Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury.
• This position requires reaching, stooping, kneeling, and crouching approximately 25% of the workday.
• This position requires frequently lifting approximately 25-30 pounds and occasional lifting of 50-100 pounds with assistance.
• This position also requires pushing and pulling computers on wheels approximately up to 100% of the day if assigned to the Emergency Department or Labor and Delivery.
• High-volume, fast-paced environment.
• The essential functions for this position are listed in the Assessment and Evaluation Tool.

REPORTING RELATIONSHIP

• This position reports to department leadership.

Total Rewards at AtlantiCare

At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including:

• Generous Paid Time Off (PTO)
• Medical, Prescription Drug, Dental, & Vision Insurance
• Retirement Plans with employer contributions
• Short-Term & Long-Term Disability Coverage
• Life & Accidental Death & Dismemberment Insurance
• Tuition Reimbursement to support your educational goals
• Flexible Spending Accounts (FSAs) for healthcare and dependent care
• Wellness Programs to help you thrive
• Voluntary Benefits, including Pet Insurance, and more Benefits offerings may vary based on position and are subject to eligibility requirements.

Join a team that values your well-being and invests in your future.