[Hiring] Revenue Cycle Billing Coordinator @Vanderbilt University Medical Center

Role Description

The Revenue Cycle Billing Coordinator is responsible for evaluating and managing revenue cycle operations to ensure effective and compliant billing and reimbursement processes. This role designs, executes, and implements billing procedures, oversees program development, and supports continuous improvement initiatives that impact a significant segment of the organization.

Key Responsibilities

• Assist with designing, planning, and implementing billing procedures and systems to support new and existing services.
• Provide training and ongoing guidance to staff involved in billing and revenue cycle functions.
• Promote program growth and scalability to support organizational expansion.
• Handles claim processing, including payments, adjustments, refunds, denials, and outstanding balances from both patients and insurers.
• Acts as a point of contact between insurance providers, third-party payers, and administrative staff.
• Evaluates financial data to detect, reconcile, and resolve trends that lead to incorrect or missing reimbursements.
• Conducts comprehensive account audits and manages other complex tasks and projects.
• Performs additional duties as assigned, in accordance with the general scope of the role.

Technical Capabilities

• Revenue Cycle (Intermediate): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.
• Problem Solving (Intermediate): Uses critical thinking and process improvement, identifies root causes, creates future state, coaches and mentors, development of solutions and action plans with a sustainability plan.
• Communication of Results (Intermediate): Communicates results and recommendations to customers in a concise and non-technical format.
• Quality Assurance (Novice): Understands the goal of increasing organizational productivity and individual performance.
• Regulatory Compliance (Intermediate): Demonstrates knowledge of the appropriate rules and regulations and applies them in difficult situations.
• Business Results (Intermediate): Ability to achieve business results while focusing on quality, customer satisfaction, and stewardship.

Core Accountabilities

• Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team.
• Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment.
• Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area.
• Team Interaction: Provides informal guidance and support to team members.

Core Capabilities

• Supporting Colleagues:
  • Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance.
  • Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders.
  • Communicates Effectively: Modifies communication style to suit different situations and audiences.
• Delivering Excellent Services:
  • Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders.
  • Solves Complex Problems: Approaches problems from different angles; identifies new possibilities.
  • Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner.
• Ensuring High Quality:
  • Performs Excellent Work: Engages in dialogue about quality; addresses quality issues promptly.
  • Ensures Continuous Improvement: Looks beyond symptoms to uncover underlying causes of problems.
  • Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment.
• Managing Resources Effectively:
  • Demonstrates Accountability: Focuses on and drives critical issues to closure.
  • Stewards Organizational Resources: Manages resources effectively for a department/area.
  • Makes Data Driven Decisions: Identifies and elevates opportunities based on data.
• Fostering Innovation:
  • Generates New Ideas: Proactively identifies new ideas/opportunities to improve processes.
  • Applies Technology: Enthusiasm for learning new technologies and tools.
  • Adapts to Change: Views difficult situations as opportunities for improvement.

Qualifications

• High School Diploma or GED (Required)
• 3 years of relevant work experience

Benefits

• Comprehensive benefits package which may include health, disability, retirement, and/or wellness offerings.

Company Description

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.