Role Description
The Revenue Cycle Coordinator supports the end-to-end revenue cycle by ensuring accurate, timely, and compliant processing of patient accounts, claims, and billing activities. This role serves as a key liaison between internal departments, patients, and outsourced billing partners, while actively managing work queues, resolving account issues, and supporting front-end and back-end revenue functions. The coordinator is expected to independently resolve routine issues and escalate complex or non-standard concerns as appropriate.
Supervisory Responsibilities: None
Essential Duties/Responsibilities
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Managed and prioritize assigned Epic work queues
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Support the revenue cycle process as an additional liaison between revenue cycle team and outsourced billing team
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Research billing and collections information to third party intermediaries for services rendered or for fees or other related charges
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Perform reviews to determine and prioritize claims submission, rejection, and denials issues as seen through claims transactions/results from payers
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Review patient accounts and coverage/insurance as needed for completeness and accuracy required by county programs, government payers, and private insurance carriers for billing, filing, and payment on medical and dental claims
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Respond to requests for review status of account, account information accuracy, patient liability, arithmetical billing errors and general billing inquiries from the revenue cycle team or outsourced billing team
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Monitor and submit explanation of benefits and payment information needed for payment posting to outsourced billing team
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Follow up on payment with insurance payers and patients on outstanding accounts as needed
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Perform accurate and timely review of patient accounts in accordance with policies and procedures and in compliance with federal, state, insurance carriers, health plans, and other third-party payor requirements, as assigned
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Answer and manage incoming inquiries via the billing phone line
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Respond to billing inquiries through Epic's patient messaging/MyChart messaging
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Serve as a resource for front desk and back office regarding billing related questions
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Manage and respond to requests submitted through the billing helpdesk
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Ensure all data and research is secure and protected, maintaining HIPAA compliance
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Perform other duties as assigned
Qualifications
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Excellent oral and written communication skills
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Effective interpersonal skills
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Ability to professionally handle calls from patients, families, or third-party representatives
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Interface with all levels of personnel in a professional manner
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Work with people of all social and ethnic backgrounds
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Handle multiple projects, prioritize, and meet deadlines
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Detail oriented with the ability to work with minimal to no supervision
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Work independently and as a team and take initiative
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Bilingual (English/Spanish) preferred
Requirements
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Minimum one (1) year of experience in medical billing or revenue cycle
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Knowledge of medical billing and insurance process
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Strong problem-solving and analytical skills
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Ability to manage high volume work queues
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Effective communication and customer service skills, including the ability to explain billing information clearly to patients and staff
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Experience with Epic or similar EHR systems preferred
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Managed care and collections management experience preferred
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Knowledge of HIPAA, Corporate Compliance, and Health Regulations preferred
Working Conditions/Physical Requirements
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This position is Fully Remote
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Operates in a home office setting at times and requires frequent times of sitting, standing, repetitive motion, and talking
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Able to lift/move up to 40 pounds, move from place to place, and stand for long periods of time