Reimbursement Coordinator

📋 Description

• • Embark on a rewarding career as a Reimbursement Coordinator at Saint Luke's Health System, a leading faith-based, nonprofit healthcare provider dedicated to delivering exceptional patient care. This pivotal role is central to ensuring a seamless and efficient financial experience for our patients, playing a critical part in the revenue cycle management of our multispecialty clinic.
• • As a Reimbursement Coordinator, you will be the first point of contact for patients regarding their insurance and financial responsibilities. Your primary responsibility will be to meticulously verify payor type, confirm patient eligibility, and thoroughly understand their insurance benefits. This involves in-depth analysis of various insurance plans to accurately determine coverage details, co-pays, deductibles, and out-of-pocket maximums.
• • A significant aspect of this role involves proactive communication and estimation. You will be responsible for estimating patient financial responsibility for services rendered and communicating these estimates clearly and compassionately over the phone to patients, ensuring they are well-informed about their financial obligations before or shortly after services are provided.
• • You will manage an assigned work queue, prioritizing tasks efficiently to meet deadlines and maintain workflow productivity. This requires a high degree of organization and the ability to manage multiple patient accounts simultaneously.
• • A key function of this position is to ensure that all necessary payor pre-certifications and authorizations have been obtained prior to scheduled procedures. You will be responsible for tracking these authorizations, confirming their approval, and ensuring they are accurately communicated to all appropriate parties, including clinical staff, schedulers, and billing departments.
• • Once obtained, you will meticulously document these pre-certifications and authorizations on the patient's account within our systems, ensuring that this critical information is readily available for billing purposes. This process must be executed with minimal support from a supervisor, demonstrating your initiative and problem-solving capabilities.
• • This role demands extensive phone and computer work. You will spend a significant portion of your day interacting with patients, insurance payors, internal scheduling teams, and physician offices. Building and maintaining positive relationships with these stakeholders is crucial for efficient operations.
• • You will be expected to multitask extensively, seamlessly navigating between multiple software systems and resources to gather information, update records, and communicate with various parties. Proficiency in using Electronic Health Records (EHR) systems, insurance portals, and other relevant software is essential.
• • A core competency for this role is the ability to answer basic insurance questions from patients with minimal support. This requires a solid understanding of common insurance terminology and processes, and the confidence to provide clear, concise answers.
• • Demonstrating exceptional quality customer service is paramount. You will embody Saint Luke's commitment to providing the best place to give care by treating every patient with empathy, respect, and professionalism, ensuring a positive and supportive experience.
• • You will actively participate in maintaining a timely and efficient workflow within the Centralized Patient Access Scheduling department. Your contributions will directly impact the overall efficiency and patient satisfaction of the department.
• • To achieve career ladder level I, you will be expected to consistently meet the quality score as determined by Patient Access Leadership, reflecting your dedication to accuracy and excellence in your work.
• • A fundamental requirement is the ability to perform insurance verification for at least one designated location within the Saint Luke's Health System, showcasing your adaptability and broad understanding of our operational needs.
• • You will consistently score a minimum of 92% on customer service reviews, underscoring your commitment to outstanding patient interactions.
• • Where applicable, you will be responsible for meeting established productivity goals, ensuring that your output aligns with departmental objectives and contributes to the overall success of Saint Luke's Health System.
• • Join a team of over 12,000 dedicated employees who are proud to be part of the Kansas City region's premiere provider of health services. At Saint Luke's, you'll find a highly diverse and inclusive workspace where all voices matter, and you can do the best work of your career.