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REVENUE CYCLE COORDINATOR

Job Details

Job Location

New Paltz Family Health Center - New Paltz, NY

Position Type

Full Time

Education Level

High School

Salary Range

$58240.00 - $68000.00 Salary

Job Shift

Day

Job Category

Business Development

Description

SUMMARY:

-Hybrid Position-

The Revenue Cycle Operations Coordinator is cognizant of the philosophy, standards, objectives and

policies of the Department and the Organization.

Thorough understanding of Commercial, Medicaid, Medicare and Supplemental Payment Programs, Billing and Collections processes including electronic forms of data exchange(claims/ERA/Eligibility).

Engaging and team building environment focusing on professional growth and development of each team member

RESPONSIBILITIES:

+ Identify and resolve trends impacting ability to collect. Anticipate needs and improve existing

workflows or develop new workflows that facilitate collections efforts.

+ Troubleshoot billing and resolve problems with appropriate agencies, departments, and/or management

+ Supervise and provide daily guidance to assigned staff to ensure appropriate and timely management of the receivables

+ · Prepare evaluations, counsel staff on performance, and execute disciplinary actions up to and including termination for all assigned staff

+ Identify and develop techniques to address issues creating unnecessary or excessive denials

+ Communicate to Director of Revenue Cycle and IT department changes required to facilitate the collection process. This includes information relating to new product lines/plans as well as changes to existing product lines/plans and issues related to the EPIC system build.

+ Work with other management to create WQ & Follow up standards.

+ Ensures smooth operations with clearinghouse vendor and facilitates payer requirements as needed for electronic claims processing and retrieval of electronic remittance advices.

+ KEY KNOWLEDGE, SKILLS, ABILITIES:• Thorough understanding of FQHC, Article 28, Article 31, dental CMS, managed care, sliding fee,and commercial payer billing guidelines and regulations.• Understanding of the implications of facility/group agreements with health plans and thesupplemental payment process

+ Performance management experience including coaching and developing staff, preparing evaluations, and executing disciplinary actions

+ Knowledge of CPT and ICD-10 Diagnosis coding

+ Proficiency in EPIC claims processing workflows preferred

+ Ability to run and interpret/analyze Crystal Reports and EPIC Workbench reports preferred

Qualifications

SKILLS:

+ Thorough understanding of FQHC, Article 28, Article 31, dental CMS, managed care, sliding fee, and commercial payer billing guidelines and regulations.

+ Understanding of the implications of facility/group agreements with health plans and the supplemental payment process

+ Ability to export, analyze, and format data which may include the development of graphs.

+ Ability to resolve staffing issues with tact and with professionalism.

+ Ability to maintain staff schedules and coordinate changes in responsibility as needed to ensure work is completed to meet deadlines.

+ Performance management experience including coaching and developing staff, preparing evaluations, and executing disciplinary actions

+ Understanding of medical Commercial, Medicaid, Medicare and Supplemental Payment Programs, Billing and Collections processes including electronic forms of data exchange (claims/ERA/Eligibility)

+ Knowledge of cash application procedures and aged accounts receivable reporting

+ Competent typing / keyboarding skills

+ Ability to handle multiple priorities and to deal calmly with individuals under stress

+ Basic computer skills, including Microsoft Word, Excel, Outlook and PowerPoint

+ Knowledge of CPT and ICD-10 Diagnosis coding

+ Proficiency in EPIC claims processing workflows preferred

+ Ability to run and interpret/analyze Crystal Reports and EPIC Workbench reports preferred

QUALIFICATIONS:

+ HS Diploma or GED required

+ Associates Degree preferred

+ Coding or Medical Billing Certification preferred

+ At least two years supervisory experience required (preferably in healthcare)

+ A minimum of 3 years of medical billing experience required

+ Proficiency in EPIC claims processing workflows preferred

+ Ability to run and interpret/analyze Crystal and EPIC Workbench reports preferred

+ Prior experience as an IFH Revenue Cycle Specialist III preferred