Revenue Management Coordinator

Position Summary

The Revenue Management Coordinator is responsible for overseeing the full revenue cycle to ensure accurate Medicaid and third-party billing, timely collections, and regulatory compliance. This role manages service authorizations, billing processes, and medical record documentation in accordance with healthcare, legal, and ethical standards. The coordinator ensures alignment between program services and financial reporting, safeguards revenue integrity, and supports the overall financial sustainability of The Arc Jacksonville.

Essential Duties and Responsibilities

Revenue Cycle Management

• Manage the complete revenue cycle process: authorization, service verification, billing, payment posting, and reconciliation.
• Review service documentation to ensure compliance prior to claim submission.
• Submit accurate Medicaid waiver and third-party claims in accordance with regulatory requirements.
• Research, correct, and resubmit denied or rejected claims in a timely manner.

Authorization & Compliance Oversight

• Receive, review, and track service authorizations.
• Ensure services align with approved authorizations.
• Maintain compliance with AHCA, Medicaid waiver, and other funding source regulations.
• Ensure proper documentation retention in accordance with legal and audit standards.

Accounts Receivable Management

• Monitor accounts for receivable aging and follow up on outstanding balances.
• Reconcile billing activity to the general ledger monthly.
• Identify trends impacting revenue and recommend corrective actions.

Reporting & Analysis

• Prepare monthly revenue reports and billing metrics.
• Track key performance indicators (denial rates, aging trends, authorization utilization).
• Assist in forecasting revenue and supporting budget monitoring.
• Provide data and documentation for internal and external audits.

Qualifications

• Associate’s or bachelor’s degree in accounting, Finance, Healthcare Administration, or related field preferred.
• Proficiency in MS Office Suite preferred.  
• Experience with NetSuite or similar ERP systems desired. 
• Minimum 3–5 years of healthcare billing or Medicaid waiver billing experience.
• Experience in nonprofit or Medicaid-funded environments strongly preferred.
• Knowledge of healthcare coding systems and regulatory requirements.
• Proficiency in financial systems and electronic health record (EHR) platforms.
• Strong analytical, organizational, and problem-solving skills.

High attention to detail and commitment to compliance.

Competencies

• Revenue integrity focus
• Regulatory compliance awareness
• Strong reconciliation and analytical capability
• Effective cross-department collaboration
• Confidentiality and ethical standards

Salary

$50,000 to $60,000 based on education and experience

Please note that all employees of The Arc Jacksonville must complete a background screening housed and managed by the Agency for Health Care Administration called the Florida Care Provider Background Screening Clearinghouse. The Clearinghouse is a first-in-the-nation enterprise system for background screening results of individuals required by law to undergo screening for employment in positions that provide services to vulnerable populations, as mandated by section 435.12, Florida Statutes.

To learn more and complete your screening, please visit info.flclearinghouse.com.

Salary : $50,000 - $60,000