Health Information & Financial Services Coordinator at Crossing Rivers Health

Description

The Health Information & Financial Services Coordinator supports the financial performance of Crossing Rivers Health by identifying and implementing process improvements across the revenue cycle. This position plays a key role in analyzing denial trends, assisting in prevention strategies, reviewing payer contracts and reimbursement rates, and coordinating cross-functional collaboration. The goal of this role is to support successful financial outcomes for both the organization and the patients it serves. This position reports directly to the Revenue Cycle Director and works closely with staff in billing, coding, prior authorization, patient access, and clinical areas.

Essential Job Functions

• Coordinates daily operations of Financial Services Department by working closely with staff to ensure timely and accurate processing of insurance claims, resolution of self pay balances, estimate creation/process, prior authorization, release of information and coding. 
• Analyzes claim denials and payment variances to identify trends and root causes across departments.
• Collaborates with internal teams to implement denial prevention strategies and improve revenue cycle workflows.
• Reviews payer contracts and reimbursement schedules to ensure accuracy in payment posting and identification of underpayments.
• Assists with the development and implementation of revenue cycle process improvements, aiming for efficiency and compliance.
• Supports staff education efforts related to payer-specific requirements, revenue cycle workflows, documentation standards, and reimbursement policies.
• Works closely with the Revenue Cycle Director to monitor revenue cycle metrics and identify opportunities for improvement.
• Troubleshoots EHR build to determine workflow or training opportunities and coordinating with Community Connect Epic host to enter service tickets for updates needed. 
• Assists with prioritization of workload for revenue cycle staff.
• May assist Revenue Cycle Director with talent recruitment and onboarding. 
• Assists with customer service/patient service when needed. 
• Coordinates interdepartmental communication to ensure the timely resolution of financial or reimbursement issues.
• Monitors claim appeals and assists in escalating unresolved or complex claim issues with payers when necessary.
• Provides support in audit preparation, compliance monitoring, and data analysis as it relates to financial operations.
• Maintains current knowledge of payer policies, reimbursement methodologies, and regulatory changes impacting the revenue cycle.
• Contributes to a culture of accountability, continuous improvement, and patient-centered service.
• Other job duties and responsibilities as assigned to effectively meet the needs of the patients, the department, and the organization as a whole. 

Competencies

• Accountability – Ability to accept responsibility and account for his/her actions. 
• Accuracy – Ability to perform work accurately and thoroughly. 
• Business Acumen – Ability to grasp and understand business concepts and issues. 
• Communication – The ability to get one’s ideas across to others through oral or written means and to understand the ideas of others through effective listening skills. 
• Detail Oriented – Ability to pay attention to the minute details of a project or task. 
• Ethical – Ability to demonstrate conduct conforming to a set of values and accepted standards. 
• Honesty/ Integrity – Ability to be truthful and be seen as credible in the workplace. 
• Organized – Possessing the trait of being organized or following a systematic method of performing a task. 
• Reliability – The trait of being dependable and trustworthy. 
• Responsible – Ability to be held accountable or answerable for one’s conduct.  

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

Requirements

Education

• High School Graduate or General Education Degree (GED) : Required
• Associate’s Degree (two-year College or technical school) Preferred, Field of Study: Accounting, Finance, Business Administration, Health Information, or related field. 

Experience

• 2 + years Revenue Cycle Experience in a Critical Access Hospital preferred.

Computer Skills

• Proficient in Microsoft Office
• Epic experience preferred