Revenue Cycle Coordinator

3 weeks ago

Southfield, United States Surgeons Choice Medical Center Full time
Description

Revenue Cycle Coordinator- Finance

Full Time - Days

Surgeons Choice Medical Center is a patient centered health care facility and physician owned destination of care focusing on all hand, joint, orthopedic and sports medicine.In 2004, in an ambitious push to bring hospitality back to the hospital, a small group of top Metro-Detroit surgeons decided to create their own surgical hospital; one that provided patients with the best possible care in a small, easy-to-manage environment that truly embraces the best patient experience. We have since become the premier center of choice with 30 surgical beds, 26 rehabilitation beds, and 6 operating rooms.

Unlock the next chapter in your healthcare finance career with Surgeons Choice Medical Center. We're on the lookout for dynamic and seasoned professionals to join us as Revenue Cycle Coordinator. Immerse yourself in a collaborative and innovative work setting where your ideas directly shape the success of our revenue cycle operations. Take the lead in showcasing your expertise in revenue cycle management, strategic collaboration, and unwavering commitment to excellence, and become a driving force in our financial success.

Perks for our staff:
  • Competitive hourly pay
  • NO WEEKENDS, HOLIDAYS OR ON-CALL
  • Health Safety Measures in place for everyone
  • A diverse & inclusive workforce that embraces communication, caring and courtesy.
  • Positive Onboarding Experience
  • Health Insurance plans effective 1st of the month following 30 days.
  • Company-paid Life Insurance
  • Supplemental Life and Disability insurance plans
  • Generous PTO accrual at start of employment.
  • Tuition Reimbursement & Continuing Education opportunities
  • 401k with company match
  • Company Events
  • Community Discounts
  • And more
Schedule:8 hour shift (40 hours) - Days

Job type: Full Time

Our Culture is Best in Class

At Surgeons Choice Medical Center our culture starts with the hospital owners who are physicians and surgeons, working side-by-side with our management and staff, invested in improving patient care. You will be part of a caring and dynamic group of healthcare professionals that thrive on providing exceptional customer service. You will work in a friendly environment that fosters compassionate communication, responsible engagement and provides you with the resources you need to provide high-quality service. Your experience and expertise are highly valued, your contributions are recognized, and your professional goals are supported. If you have a desire and passion to make a difference in people's lives, Surgeons Choice Medical Center is the place for you.

Responsibilities:

Revenue Cycle Coordination:
  • Act as a strategic liaison between third-party revenue cycle companies and Surgeons Choice, fostering and supporting effective relationships.
  • Evaluate, quantify, and propel the achievement of key performance indicators (KPIs) in the revenue cycle to ensure success.
  • Investigate and drive resolution for reoccurring claim denials, rejections, and discrepancies.
  • Serve as a project manager/technical business lead for special projects a requested to drive process improvement and innovation within the revenue cycle.
  • Cultivate a culture of continuous improvement in revenue cycle operations, identifying actionable trends, and enhancing revenue generation and collection processes through innovative strategies.
  • Participate in various organizational committees relevant to revenue cycle as assigned.
Contract Management & Credentialling:
  • Diligently manage the Contract Manager queue, promptly identifying and addressing any discrepancies in insurance payment amounts. Foster proactive coordination and communication with both internal teams and external stakeholders to swiftly resolve any issues that arise.
  • Fulfill the crucial role of web access administrator for government and payer portals, ensuring seamless access and efficient navigation for relevant personnel.
  • Establish and maintain a well-organized system for documenting credentialing, insurance contracts, contact information, and fee schedules, facilitating streamlined access to critical information.
  • Act as the primary point of contact for all communications with payers, fostering clear and effective dialogue to facilitate smooth operations.
  • Take charge of ensuring proper setup with payers and adhere to deadlines for timely facility credentialing and re-credentialing. Lead the charge in promptly resolving any credentialing issues that may arise, maintaining compliance and operational efficiency.
Compliance, Policies, Procedures, and Education:
  • Responsible for initiating and maintaining PLE/Pricing Transparency requirements
  • Stay at the forefront of healthcare regulatory changes and compliance, encompassing Medicare, Medicaid, commercial and private payer. Participates in reading and understanding the contents of communication memos, webinars, calls, and related materials to support greater knowledge and understanding of requirements related to the revenue cycle.
  • Under the direction and support of management, develop, maintain and deploy policies and procedures to ensure revenue cycle operations:
    • Promotes efficiency and accuracy
    • Optimizes patient collection, minimizes bad debt, and foster financial health for patients and Surgeons Choice
    • Meets compliance, legislative requirements, HIPAA regulations and other lawful practices
  • Serve as an influential educator by conducting comprehensive training sessions for staff members on revenue cycle processes, procedures, policies and best practices.
Requirements:
  • Bachelor's degree in healthcare administration, finance, or a related field.
  • Proven experience in revenue cycle management, process improvement or project management.
  • Proficiency in data analysis using Microsoft Excel.
  • Experience in medical billing and reimbursement preferred.
  • Strong knowledge of healthcare regulations, payer policies, and reimbursement methodologies.
  • Excellent communication and interpersonal skills at all organizational levels.
  • Knowledge of medical billing and reimbursement preferred.
  • Ability to access and fully use the electronic accounting and reporting systems used by Surgeons Choice.
Work Environment:
  • Office-based work environment with hybrid option.
  • Collaborative work with a dedicated finance team.
  • Occasional travel within the organization.
  • Regular use of the computer.
  • Subject to frequent interruptions.
  • Willingness to work beyond normal working hours when necessary.
  • Adheres to policies and procedures in performing job duties and responsibilities.

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