INSURANCE COORDINATOR at Forrest General Hospital – Hattiesburg, Mississippi

Insurance Coordinator performs under the direct supervision of the Clinic Manager and Patient Care Manager of the NICU. The insurance coordinator ensure prompt and efficient daily operation of physician practice through collaboration with the physicians, associate staff and other health care providers to ensure that patient billing is achieved within the projected timeframe. This role is responsible for filing all physician inpatient and outpatient claims (government and non-government) utilizing practice management software. The role also reconciles and posts remittance from all sources (patient and insurance) and balances daily for accuracy in accounting. It is also responsible for assisting the hospital in obtaining authorization on newborn patients and communicating with hospital representatives regarding eligibility, enrollment in government programs and any other factors to insure unnecessary delay of remittance to hospital and physician practice. The insurance coordinator also prepares, prints and mails monthly statements, coordinates patient payment plans and follows up on slow or delinquent accounts. Must be able to perform other job duties as assigned.

Performance Expectations:

• Demonstrates the knowledge and skills necessary to provide reliable assistance to the members of the team, including nurses, managers, and physicians. Demonstrates good customer service skills when interacting with patients, visitors, and co-workers. Helps ensure that the unit runs efficiently.
• Demonstrates technical aptitude for performing secretarial and general unit duties.
• Demonstrates the ability to effectively communicate and interact with patients, families, visitors & the whole health care team.
• Embraces and practices We CARE philosophy in all aspects of patient, visitor, co-worker, employee and non-employee interactions.
• Communicates with others (verbally and in writing) in an appropriate and timely manner, demonstrating tact, sensitivity and the ability to deal with people beyond giving and receiving instructions.
• Adheres to and promotes the established values of the organization including but not limited to: customer service, safety and compliance standards.
• Acts with integrity, builds relationships with trust and respect and holds self and others accountable.
• Works efficiently, utilizes all resources in a cost-effective manner, adheres to the organization’s policies and procedures, actively seeks ways to reduce cost and conserve resources to improve results.

Qualifications:

Education/Skills:

High School diploma or equivalent required.

Work Experience:

Insurance claims and patient account operations experience in a physician's office or hospital is preferred. Extensive knowledge of Medicare, Medicaid and insurance preferred. Required to be proficient with a personal computer and 10-key calculator. Required to be proficient with Microsoft Word and Excel.

Certification/Licensure-DUE UPON HIRE

• CPAR or CMOM - preferred

Mental Demands:

Exceptional oral and written communication skills required to relate to patients, insurance companies and hospital personnel and other third parties. Must have basic math skills to perform calculations for insurance analysis and proration. Ability to perform repetitive duties of accurately entering data on personal computer keyboard. Must have the ability to make decisions and work independently