Overview

Be inspired. Be valued. Belong. 

 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide:

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship, development, leadership programs...and more

Description

The Coordinator, Business Office supports the day-to-day operations of the business office within the Ambulatory Surgery Center (ASC). This role assists with coding, billing, reimbursement processes, and denial management to ensure accurate claims processing and maximum reimbursement in compliance with Medicare, Medicaid, and Managed Care regulations.

The coordinator collaborates with physicians, Patient Financial Services, and other departments to support billing operations, monitor account activity, and ensure timely submission and follow-up of claims. This role also assists with staff coordination, operational reporting, and administrative processes that support efficient business office operations.

RESPONSIBILITIES

Billing, Coding, and Reimbursement Support

• Assist with daily operations of the coding and billing functions within the ASC business office.

• Ensure accurate coding using ICD and CPT coding standards to support appropriate reimbursement.

• Verify invoices are created within billing systems and that claims are submitted in a timely manner.

• Interpret and share billing, coding, and reimbursement guidelines with staff when appropriate.

• Assist with estimating charges for procedures and verifying Medicare and Medicaid approval for ASC procedures.

Precertification and Financial Coordination

• Review patient financial records prior to procedures to confirm precertification through PADB.

• Notify financial counselors regarding estimated patient financial responsibility for self-pay patients.

• Provide guidance to physician offices regarding patient insurance coverage and financial status.

Denial Management and Account Review

• Assist with monitoring denial management and account review processes.

• Track denial trends and support resolution of reimbursement issues.

• Monitor operational metrics related to billing performance and claims processing.

Staff Coordination and Operational Support

• Assist with coordinating daily work assignments for business office staff.

• Support cross-training initiatives to ensure continuity of operations.

• Provide input regarding staff performance and operational improvements.

• Assist leadership with onboarding and orientation activities for new employees.

Reporting and Operational Analysis

• Prepare and distribute operational activity reports related to billing, claims processing, and reimbursement performance.

• Assist in monitoring operational performance metrics and identifying opportunities for improvement.

• Support improvement initiatives related to denial management and account review processes.

Systems and Administrative Responsibilities

• Maintain working knowledge of systems used within the ASC including:

  • Lotus Notes

  • IDX

  • ESI

  • PADB

  • PowerChart

  • Other operational systems as required.

• Assist with maintaining system access and administrative documentation as required.

• Complete required federal, state, and insurance-related surveys.

Collaboration and Communication

• Serve as a liaison between the ASC business office and Patient Financial Services regarding reimbursement-related issues.

• Maintain effective working relationships with physicians, administrators, and clinical departments to support operational goals.

MINIMUM QUALIFICATIONS

Education

High School Diploma or equivalent required.A degree in Business Administration or a related field is preferred.

Experience

• Minimum five (5) years of experience in healthcare administration, medical billing, or revenue cycle operations.

Knowledge, Skills, and Abilities

• Strong knowledge of medical terminology, CPT coding, and ICD coding systems.

• Understanding of Medicare, Medicai