Coordinator I, (Hybrid) Obstetrics and Gynecology Clinical Support Services - Galveston

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.