Fluency in Spanish(written and spoken) is highly preferred.Location: 6560 Fannin St, Houston, TX 77030 (Scurlock Tower)At Houston Methodist, the International Finance Coordinator (IFC) position is responsible for performing the daily tasks of the Finance Office for Global Health Care Services. This position assists in notifying patients of their financial responsibility, payment options, and collecting payments. The IFC ensures the operation of an efficient and effective billing and collections office that supports the department's mission and business development plan.PEOPLE ESSENTIAL FUNCTIONS
Serves as the liaison for department management through effective communication and accurate reporting, while balancing the role of a collector while demonstrating compassion for patients' financial and health conditions.
Clearly and professionally communicates information during all patient communication. Work output is documented clearly, so that various departments involved in resolution can review the account. Follow established customer service guidelines and strive to meet all reasonable patient requests. Reliably routes patient to appropriate destination.
SERVICE ESSENTIAL FUNCTIONS
Record and maintain daily payment status information by guarantor including related information per department protocol and present information to Management upon request
Provide consistent, quality work that ensures the accuracy and efficiency of the International Finance Services Department that enhances the international patient experience at Houston Methodist Hospital
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Transfer knowledge to Global department staff, patients, and partners, and provides procedures for accurate billing, collection and accounting procedures.
Organize daily activities of the International Finance Services Department and provides prompt internal and external problem resolution.
Identifies denials trends and notifies department management to prevent future denials and further delay in payments. Makes recommendations for resolution. Pursues appeals when available. Initiates communication with coding team and clinical staff when coding related, and medical necessity appeals are warranted.
FINANCE ESSENTIAL FUNCTIONS
Manage multiple work queues for missing registration information, billing & follow-up by engaging with payor websites and initiate calls to ensure prompt authorization approvals and secure payment of medical claims for both hospital billing and physician billing.
Consistently and accurately utilizes medical acceptance criteria to screen and schedule appointments for patients in a way to ensure optimal efficiency in clinic operations for both hospital and physician billing.
Collects complete and accurate financial and consent data during intake and registration process when appropriate, including payors and treatment team.
Provides financial information to patients obtained during verification process by financial clearance staff, to include cost estimates, payment plans, discounts, and supplemental financial assistance and verification of benefits.
Consolidate bills in a timely manner according to departmental guidelines, and including all pertinent documents required by guarantor
Maintain consistent and regular communication with guarantors through varying methods to follow up on receipt of claims and bills, and to resolve outstanding account balances.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Participate in development and implementation of goals and objectives for the Finance Office and leads the implementation of work plans and policies and procedures.
Proactively seek understanding on how service and revenue cycle lines work within Houston Methodist Hospital. Lead initiatives when needed to assume alternating roles and responsibilities within the Finance Office.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.EDUCATION
Bachelor's Degree in Business, Accounting, Health Care or related field
WORK EXPERIENCE
Five years accounts receivable experience and hospital billing and collections or patient access in a healthcare setting, preferably in a hospital
LICENSES AND CERTIFICATIONS - REQUIRED
N/A
KNOWLEDGE, SKILLS, AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Fluency in Spanish
Analytical thinking and complex problem solving.
Strong customer service and communication skills.
Epic and Hospital experience
ICD10 Billing/Coding
Timely responses to patient account inquires.
Confidentiality practices of reporting information
SUPPLEMENTAL REQUIREMENTSWORK ATTIRE
Uniform No
Scrubs No
Business professional Yes
Other (department approved) No
ON-CALLNote that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
On Call Yes
TRAVELTravel specifications may vary by department
May require travel within the Houston Metropolitan area No
May require travel outside Houston Metropolitan area No
Company Profile:Houston Methodist is one of the nation’s leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care.Houston Methodist is an equal opportunity employer inclusive of women, minorities, disabled persons and veterans.Equal Employment OpportunityHouston Methodist is an Equal Opportunity Employer.Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.Houston Methodist is an Equal Opportunity Employer.Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.