Outreach Hospital Coordinator(Billing) - Shady Grove Site

The Outreach Hospital Coordinator primary office site is the Shady Grove location and is responsible to complete services required to ensure we accurately capture necessary information to charge and bill for our services at outside partner hospitals. The Outreach Hospital Coordinator serves as a liaison between Children's National physicians and the billing team. The Outreach Hospital Coordinator will ensure accurate and timely charge capture and quality assurance processes for professional charge services which are completed daily. The Outreach Hospital Coordinator will work directly with physicians, registration, billing, Managed Care, and outreach hospital staff to ensure an efficient and seamless process to support charge capture, billing, and reimbursement.

Minimum Education

Associate's Degree (Required) Or Associate's Degree may be substituted with experience with medical billing process, health care insurance claim practices and compliance.

Bachelor's degree (Preferred)

Minimum Work Experience
3 years Experience with medical billing process, health care insurance claim practices and compliance (Required)

Required Skills/Knowledge
Basic knowledge of professional CPT codes related to hospital based services required to ensure procedure and diagnosis codes are billable prior to entering charges; correspond with physicians to report coding issues.

Functional Accountabilities
Liaise between Children's National physicians and the billing team.

• Demonstrate accuracy of registering patients using the applicable system for the department.

• Collect accurate demographic and insurance information. Update systems as needed in accordance with department standards for registration accuracy.

• Verify insurance eligibility using applicable eligibility system. Contact patients to obtain insurance information if necessary.

• Follow all established departmental policies to perform preliminary review of source reports to determine sufficient data are present to manually post or upload and process charges.

• Work collaboratively with all departments/services of the Children's National Health System to ensure any needed information is obtained for billing process.

Ensure an efficient and seamless process to support charge capture, billing, and reimbursement.

• Perform auditing of charges to identify any errors; address this information directly with the departments, managers and/or physicians.

• Conduct root cause analysis for issues reducing reimbursement and slowing payment cycle; identify key issues and assist with tracking, trending and reporting.

• Present data and analysis to all levels of management and/or physicians for trends and billing issues.

• Assist in the development of solutions, training and education to resolve issues and share data with staff and management.

• Provide training and education to new employees and leadership as needed.

• Perform the duties listed above and other duties as assigned.

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others' ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance