Revenue Cycle Coordinator

Position Summary

The Revenue Cycle Coordinator acts as a subject matter expert for all revenue cycle functions. This position is responsible for working with various departments to streamline processes and workflows to ensure efficient and accurate claim processing.

Essential Job Functions and Responsibilities

• Maintains up-to-date knowledge of rules and regulations for medical billing. Maintains detailed and thorough knowledge of payer-specific laws and requirements to submit claims in a legal and compliant manner.
• Conducts regular team meetings to discuss updates, address issues, and ensure alignment with organizational goals.
• Communicates effectively with patients, staff, and external partners to address concerns and provide information.
• Researches monthly aged accounts receivable lists to assure that accounts receivable levels are within organization targets.
• Creates educational materials and resources to support ongoing staff development.
• Provides training and education to staff on best practices for documentation, coding, and billing to minimize denials.
• Attends payor meetings regarding patient issues, benefits, or claim concerns.
• Analyzes data to identify trends, opportunities, and challenges in the revenue cycle process.
• Establishes protocols for timely and accurate claim submissions to reduce the likelihood of denials.
• Presents findings and recommendations to management and relevant stakeholders.
• Performs other duties as assigned.

Minimum Qualifications

• Education
  • Minimum of an Associate Degree in Healthcare Business Services or a related field is required.
• Licensure/Certification
  • Advanced training/certification in medical billing, coding, and/or insurance preferred.
• Experience
  • Minimum of five years' experience in a medical billing role is required, or equivalent education.

Competencies Required

• Knowledge
  • Working knowledge of medical and insurance terminology.
  • Basic knowledge of CPT, HCPCS, and ICD-10 coding.
• Skills
  • Possesses interpersonal, communication, and listening skills necessary to deal effectively and courteously with patients and all staff members.
  • Proficient computer skills working in an Electronic Medical Record (EMR) and Practice Management software, and Microsoft Word, Excel, and the Internet.
  • Demonstrates professionalism and respect in all forms of communication and correspondence.
  • High level of accuracy and efficiency when entering patient financial and related data.
• Abilities
  • Ability to maintain strict confidentiality of fiscal and health information.
  • Ability to work in a fast paced, multi-tasking environment and cope with rapidly changing demands while working as a team member.
  • Ability to prepare and gather information accurately and efficiently.