GENERAL SUMMARY OF POSITION: Under the direction of the Director or designee, the Project Coordinator II will lead small projects or subcomponents of larger, more complex projects. Responsible for independent action on multiple projects as assigned. Tasks vary according to the priorities of the department.
Under the direction of the Director or designee
May supervise Project Assistants or other administrative support staff
ENVIRONMENTAL WORKING CONDITIONS:
Usual office environment
Health Care Finance Solutions (HCFS) is a part of Commonwealth Medicine (CWM), the health care consulting division of UMass Medical School, Massachusetts’ only public medical school. As nationwide leaders in the development and implementation of health care reform, CWM and HCFS stay ahead of health care trends and help strategize and plan for changes that impact both health care delivery systems and patients on the local, state and national level.
HCFS helps state agencies s identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs, and capitalize on all possible revenue streams. At the same time, HCFS identifies opportunities for our clients to increase health care related services, reduce the net cost of delivery, and help ensure individuals receive the health and human service benefits to which they may be entitled.
The PHI unit at HCFS extends these services to state and local public health authorities to enhance their ability to sustain essential health care services to communities by identifying payers for these services and coordinating with other payers to seek reimbursement for these services. PHI provides its clients with comprehensive medical billing and accounts receivable mechanism, as well as other services, to maximize the collection of federal, third-party, and private reimbursement for health care and related services provided by state and local public health authorities. The program produces over $8 million in gross charges to liable payers and generates over $3.5 million in net revenue.
Under the supervision of the Operations Supervisor for the PHI unit, the Project Coordinator will work within the PHI unit and be responsible daily activities that support service capture, insurance identification or verification of services for the preparation and submission of claims to liable payers. The Project Coordinator will also assist with training and orientation of new or existing clients, identify areas of process flow improvements and communicate any program requirement changes in order to maximize reimbursement and operational efficiencies.