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Revenue Cycle Coordinator

1 month ago

Cincinnati, United States The Crossroads Center Full time
Job DescriptionJob Description

We are seeking a detail-oriented and self-motivated Revenue Cycle Specialist to join our team. This role is vital in ensuring the accuracy and efficiency of our billing processes and requires a strong understanding of healthcare billing procedures. The ideal candidate will have the ability to perform various billing functions, manage patient accounts, and work collaboratively with the leadership team to address and resolve any issues that may arise.

What will you do:

  • Within 90 days of hire, you will be responsible for performing monthly billing functions for Carelogic and Methasoft in the absence of the Billing Manager.
  • Research and resolve patient issues, respond to inquiries from agency team members, and assist with the preparation and distribution of weekly patient statements.
  • Conduct thorough insurance verification and validation for all scheduled patients at The Crossroads Center, ensuring eligibility and benefits are accurate for claim submission and payment.
  • Proactively communicate with patients before their appointments to discuss their financial responsibilities, including co-pays due at the time of the procedure.
  • Work with leadership to identify, research, and resolve issues that could lead to inaccurate or untimely claim filings, rejections, or other billing and collections concerns.
  • Meet and exceed daily production goals as outlined by the Billing Manager.
  • Compile and submit claims to insurance companies using data from the Electronic Medical Record (EMR) system.
  • Review initial claim scrubs and submit claims to the clearinghouse, ensuring accuracy and compliance.
  • Utilize effective billing techniques to resolve billing edits and ensure clean claims are sent to payers electronically or via paper.
  • Process credit card transactions, post payments and adjustments, and ensure accuracy by balancing deposit totals with system-generated reports.
  • Properly close all assigned batches in a timely manner and maintain daily posting logs and reconciliation.
  • Collaborate with management and revenue cycle staff to enhance processes, increasing accuracy and efficiency.
  • Perform other duties as assigned.

What are we looking for?

  • Proven experience in medical billing and coding, preferably within a healthcare setting.
  • Proficiency in using billing and practice management software.
  • Strong understanding of insurance verification, claim submission, and payment processing.
  • Excellent communication skills with the ability to engage effectively with patients and team members.
  • Detail-oriented with strong organizational skills and the ability to meet deadlines.
  • Ability to work independently and as part of a team.

Benefits:

  • Competitive Salary
  • Comprehensive Health Benefits
  • Paid Time Off
  • Public Student Loan Forgiveness Program
  • Employee Assistance Program
  • Retirement Plan
  • Work / Life Balance
  • Employee Recognition
  • Professional Development

Disclaimer: The preceding job description outlines the general nature and level of work performed. It is not exhaustive of all responsibilities, duties, and qualifications required.

Equal Opportunity Employer: The Crossroads Center is committed to diversity and does not discriminate in employment based on color, race, sex, religion, national origin, sexual orientation, gender identity, disability, age, parental status, or other protected characteristics.