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Revenue Cycle Coordinator
1 month ago
Position Summary:
The Revenue Cycle Collections Coordinator is responsible for the oversight of the NSA negotiations, IDR and TDI workflows and processes. The Coordinator is responsible to ensure the timely filing and follow up of all related claims, invoices and reconciliation of payments from settlements and administrative costs of all medical insurance claims that fall under NSA, IDR or TDI.
Essential Duties and Responsibilities:
Ensure timely, efficient filing and follow up of all medical claims billing that are part of the NSA, IDR and TDI collection processes.
Daily monitoring of claims volume, filing deadlines, open collection efforts to ensure all identified and standardized workflows and processes are followed by the collections team(s).
Daily tracking of incoming emails and correspondence for open collection activities to ensure timely response and scheduling of negotiation, mediations, and arbitrations.
Daily monitoring of internal tracking documents to verify timeliness and efficiency of collection work and follow up.
Weekly management of administrative invoicing to ensure all accounts are properly accounted for and payments are processed timely.
Conduct daily, weekly, monthly audits of workflow and processes to ensure all identified and assigned collection tasks are implemented and maintained. Identify any areas of training and education and report to Associate Director of Revenue Cycle- Collections.
Schedule, prepare and conduct mediations. Track and report any trend or areas for process or workflow improvement.
Perform daily, weekly, and monthly audits on collections team members and processes to ensure production and quality assurance goals and standards are achieved and maintained. Address any variances with work plan or personal improvement plans.
Conduct education and training as necessary.
Prepare and present weekly and monthly department reports as needed.
Ensure compliance with all healthcare state and federal regulations, privacy laws and billing requirements.
Perform other duties as assigned.
Education and Experience:
Extensive experience in collections, denials management, NSA, IDR, TDI and negotiations; preferable in a free-standing emergency room facility setting.
In-depth knowledge of healthcare regulations, privacy laws, and billing requirements.
Strong billing and coding background, preferred in free standing emergency room setting.
Excellent communication and interpersonal skills.
Ability to analyze data, identify trends, and make data-driven decisions.
Proficient in using healthcare information systems and patient access software.
Experience in process improvement and implementing best practices.
Physical Demands:
The physical demands for this position include: adequate vision, hearing, and repetitive motion. Light physical activity performing non-strenuous daily activities of an administrative nature. Ascending or descending stairs, ramps, and the like, using feet and legs and/or hands and arms. Substantial movements (motions) of the wrist, hands and/or fingers in a repetitive manner. Bending legs downward and forward by bending leg and spine.
Work Environment:
Well-lighted, heated and/or air-conditioned indoor office setting with adequate ventilation.
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