Position Summary The Revenue Cycle Coordinator will be responsible for supporting management in maintaining, improving, processing, and evaluating the billing and collection of accounts receivable for the Medical Group and/or resolve complex payer issues to completion daily. This may encompass working the receivable of multiple practices and will comprise of the receivable of multiple third-party payers, as well as, supporting management in the overall execution of Revenue Cycle collection duties. Duties and Responsibilities The duties include, but are not limited to:
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Qualifications or Education, Training and Experience
Knowledge and Skills/Expected Competencies • Knowledge of accounting, healthcare, and general office procedures, preferred. • Working knowledge of collection processes and insurance verification and pre-certification processes. • Requires ability to understand, interpret, evaluate, and resolve basic customer service issues. • Intermediate knowledge of accounting principles which directly impacts the accounts receivable that may include debit and credit transactions; charge transfers; contractual allowances and adjustments and financial class changes. • Knowledge of the state and federal reimbursement and regulatory guidelines to ensure compliance with State regulations regarding patient and insurance billing issues, preferred. • Knowledge of medical terminology • Requires knowledge of common revenue cycle accounts receivable terms, common business practices, and statute of limitations as it pertains to billing, appeals, payer requests, payments, retractions, and EOBs. • Requires knowledge of billing, collection, and telecommunications software • Understands HCPC and/or CPT coding issues that could impact a claim. • Requires knowledge of up to date HIPAA and HITECH rules and regulations. • Demonstrates ability to assist in mentoring others in regard to the department’s payers and revenue cycle processes. • Ability to work the receivable of multiple facilities with experience, knowledge, and skills that are transferable to other tasks and assignments. • Understands common terms used daily in carrying out tasks. |
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