Role Description
As a Revenue Assurance Coordinator, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders—patients, providers, payors, and regulators—to achieve the best clinical outcomes.
You Will:
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Receive & analyze Revenue Variance Reports for West Coast Radnet centers.
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Perform an analysis of the data received in reports to isolate variances needing further research.
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Investigate the reasons for variances, including identification of front end, back end, and NPD (National payor database) discrepancies.
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Research variances within Erad, Billing systems, NPD, and other data sources to determine the viability of revenue recovery.
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Notify appropriate parties to initiate the appellate process for accounts with potential revenue recovery.
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Maintain open dialogue with Reimbursement Operations (RO) personnel and contracting regarding the status of open appeals.
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Coordinate with leadership & contracting to ensure payor-initiated modifications are implemented and resolved.
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Prepare and maintain Revenue Assurance Module (“RAM”) Variance Tables within the NPD for assigned RadNet practices.
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Prepare a monthly Dashboard Report of RAM status and results.
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Assist in the implementation and roll out of procedures and best practices.
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Perform duties as assigned by Leadership, including administrative functions and providing ad hoc information/reports from the RAM of the NPD.
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Attend and participate in meetings, seminars, and training as required.
This is not an exhaustive list of all duties, responsibilities, and requirements of the position described above.
Qualifications
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High school diploma required; secondary education is desired.
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At least 3 years of internal or external experience in the health care insurance and/or insurance reimbursement field.
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Excellent computer skills, especially strong knowledge of Microsoft Excel and Word.
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Knowledge and understanding of payors, contracting, insurance types/classes, CPT codes, and fee schedules.
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Understanding of revenue cycle process flow is desired but not required.
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Superior analytical, written, and oral communication skills; fluency (written and oral) in English required.
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Ability to work well in group and individual settings.
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Ability to foresee potential problems and offer solutions.
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Ability to handle moderately complex assignments under minimal supervision is essential.
Requirements
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Passionate about patient care and exercise sound judgement and professionalism in all situations.
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Demonstrate effective and professional communication, interpersonal skills, and respect with patients, guests, and colleagues.
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Have a structured work approach, understand complex problems, and prioritize work in a fast-paced environment.
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Demonstrate a high level of competency and ensure team members safeguard patient property and Patient Health Information.
Benefits
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Comprehensive Medical, Dental, and Vision coverages.
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Health Savings Accounts with employer funding.
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Wellness dollars.
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401(k) Employer Match.
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Free services at any of our imaging centers for you and your immediate family.
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Pay Range: $18.00 - $23.00 per hour.