The Affiliate Program extends the protocol-structured treatment and research at St. Jude to children beyond our physical walls through clinical, research and academic partnerships with pediatric programs.
In the role of Reimbursement Coordinator, your duties would include:
Assists with the coordination of Affiliate Program (AP) payment activities, timely processing of approved AP invoices per hospital policy and contractual terms, and timely entry of payments/refunds into a centralized database.
Maintains a current listing of approved providers, contact information, and discounting agreements. Interprets existing provider contracts and agreements when approving invoices for review.
Assures invoices meet hospital requirements, medical care guidelines, and/or Office of Inspector General (OIG) ruling expectations and follows-up as needed.
Maintains a working relationship with clients conducive to the nurturing of new/renewal contracts with clients.
Assists in the maintenance and enhancement of various databases to meet unique/specific financial, clinical, and administrative needs.
Ensures that patients and their guardians are assisted with any questions or problems in a timely manner.
High school diploma or GED is required
Some college education is preferred
Five (5) years of patient accounts experience required
Experience in a healthcare environment preferred
Experience in negotiating with clients related to discount requests and invoice reconciliation preferred
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