RCM Coordinator

The company is a leading telehealth provider of behavioral health care services based in Middletown, CT. We provide world-class clinicians to patients, virtually, in long term care facilities who wouldn't otherwise have physical access to specialized care. We are looking for energetic, hard-working individuals to help the company as we execute on our growth plan.

The RCM Coordinator will need to be an independent worker, detail-oriented, and have a sense of urgency. Additionally, they will have strong organizational habits and must have the ability to meet critical deadlines. The RCM Coordinator is responsible for overseeing billing and collections. MediTelecare uses an outsourced vendor for its billing. This position would work closely with our vendor to minimize bad debt, improve cash flow, and manage accounts receivable.

ESSENTIAL FUNCTIONS:

• Analyze collection trends and identify opportunities for improving collection rates
• Oversee revenue cycle including billing, coding, collections, denial management, and cash posting
• Follow up on unpaid claims and manage denials or appeals process with outsourced billing vendor
• Obtain authorizations and verify patient eligibility
• Evaluate billing processes and procedures and make process improvements
• Maintain insurance portal logins
• Respond to requests from insurance companies, patients and their families
• Ensure legal compliance with billing practices
• Exemplify professionalism in appearance, communication, and conduct
• Other related duties as assigned

KNOWLEDGE, SKILLS AND ABILITIES:

• 6 years or more of previous experience in the healthcare industry
• Demonstrated understanding of the medical billing process, insurance eligibility verification process, preauthorization process, and credentialing process
• Knowledge of Medical Coding
• Experience with any medical billing or practice management software
• Intermediate to expert level skills in MS Office and MS Outlook
• Bachelor's degree in related healthcare field or equivalent experience

This job description is not inclusive and there may be other tasks and responsibilities

that you will perform as required.