Department

BEHAVIORAL HEALTH SOP - 206163

Worker Sub Type

Regular

Work Shift

Pay Grade

113

Job Description

The Outpatient Behavioral Health Revenue Coordinator supports the practice manager and patient access supervisors with educating and training frontline staff to ensure access workflows maintain revenue integrity.

Responsibilities and Duties

Conducts quality audits of provider documentation and coding.

Implements and follows standardized department policies and procedures related to revenue, patient access, and documentation.

Assists the patient access teams with cost estimates and pre-authorization for services as required by insurance payors.

Cross-trained in all registration/access workflows.

Coordinates with Clinical Managers to ensure clinical departments comply with level of care standards as defined by various payors to ensure maximum collections and regulatory compliance.

Assists in generating billing metrics to facility staff, operations and corporate service teams.

Responsible for maintaining Outpatient Behavioral Health Epic Charge review and claim edit work queues and completing charges which require correction and release (both PB and HB charges).

Runs reports for Revenue for Behavioral Health and distributes to appropriate staff/leadership.

Continuously coordinates with Managed Care Contracting, Credentialing, Billing, Coding, Account Recovery, and Revenue Integrity Departments to ensure contracts are in place for all necessary Outpatient Behavioral Health services, providers are appropriately on-boarded and credentialed, and claims are submitted and coded appropriately.

Manages the Revenue Cycle including tracking of physician and therapist productivity.

Tracks reimbursements and denials.

Completes charge entry for off-site outpatient claims, as necessary.

Participates in process improvement efforts, developing and supporting processes that deliver a superior patient experience and high quality care and services.

Works closely with department management and supervisors to assure understanding and compliance with policies and procedures.

Collaborates with hospital accounting and finance on report generation.

General administrative functions include, but are not limited to: ordering supplies, coordinating meetings, attending meetings, managing files, and communicating with leadership and staff.

Establishes and maintains positive working relationships within the department team and with other hospital departments. +

Education
High School Diploma is required.

Associates or Bachelor’s in Health Administration or related field is preferred.

Experience
Computer experience is required.

2 years of outpatient coding and/or billing experience is required.

Certification & Licensures
At least one of the following AAPC Certifications required:

• Certified Professional Coder (CPC)
• Certified Outpatient Coder (COC)
• Certified Revenue Cycle Management Specialist (RCMS)
• Certified Professional Medical Auditor (CPMA)

Qualifications
Excellent oral and written communication skills required.

Ability to manage multiple tasks required.

 

Benefits

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:

• A Zero-Deductible Health Plan
• Dental and vision insurance
• Generous Paid Time Off
• Tuition Assistance
• Retirement Savings Match
• A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
• Membership to Healthy U: An Incentive-Based Wellness Program

Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.

To see the full scale of what we offer,