Job Description
Minimum Qualifications:
Associate's degree or equivalent; 1 year of related experience.
Preferred Qualifications:
Experience or exposure to Epic, including billing, denials, coding and work queues.
Understanding of healthcare revenue cycle process.
Strong organization skills and attention to detail.
OBGYN/Pedi Provider Enrollment process.
CPT appeals.
Managing the RWSP Grants and Contracts.
Job Description:
To provide coordination of all phases and activities associated with special university or community programs.
Job Duties:
The Coordinator I role will focus on streamlining billing processes, improving patient collections, and enhancing denial management and revenue recovery efforts for the Department of Obstetrics and Gynecology.
Key Responsibilities
The Coordinator I will provide comprehensive administrative support to the Department of Obstetrics and Gynecology. Job duties include, but are not limited to, the following:
Liaison:
- Coordinate with report writers to develop department-specific reporting on revenue and reimbursement trends and analyze reports on an ongoing basis.
- Meet with department stakeholders to review reporting and assist with root cause analysis, which may result in recommended workflow or system changes to improve performance.
- In conjunction with Revenue Cycle, Finance, and Health System/SOM leadership, assume responsibility for the adoption of reporting and metric targets by supported departments.
- Provide the data necessary to drive department accountability and achievement of metrics.
- Promote process standardization across related departments in order to improve revenue capture and reimbursement.
Denial Management :
- Coordinate with report writers to develop department-specific reporting on denials and avoidable write-offs and analyzing reports on an ongoing basis.
- Prepare, compile, and distribute regular denial and AWO reports, and present data to appropriate stakeholders including the HB and PB Denial/AWO Committees.
- Meet with department stakeholders to review reporting and assist with root cause analysis, which may result in recommended workflow or system changes to improve performance.
- Provide trending on the types of claims denied and root causes of denials and collaborate with team members to make recommendations for improvement and issue resolution.
- Maintain an updated issues list on behalf of the HB and PB Denial/AWO Committees and follow up with owning areas as necessary to ensure progress and adherence to resolution plans.
- Coordinate with IS on completion of any build or enhancements to the system to resolve technical issues related to denial management.
Salary Range:Salary Salary Range: Actual salary commensurate with experience or range if discussed and approved by hiring authority.
EQUAL EMPLOYMENT OPPORTUNITY:
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.