Revenue Cycle Coordinator
2 weeks ago
Position Type: Full-time
Work Schedule: Monday - Friday / 8 AM to 5:30 PM (EST)
Role SummaryThe Revenue Cycle Coordinator plays a crucial role in managing the financial aspects of patient accounts. This position involves overseeing payment processing, submitting claims, and liaising with insurance providers to ensure prompt payment. The coordinator will also assist families with billing inquiries and insurance-related questions.
QualificationsEssential Requirements:
- High school diploma or GED equivalent is mandatory.
- A minimum of two to three years of experience in medical billing is required.
- Experience with Applied Behavior Analysis (ABA) billing is highly desirable.
- Exceptional customer service skills are essential.
- Proficiency in multitasking, time management, and organizational skills is required.
- Ability to work collaboratively in a team-oriented environment.
- Strong problem-solving and critical thinking skills are necessary.
- Experience with electronic health records (EHR) is a plus, preferably in Central Reach.
- Proficient in Microsoft Word, Excel, and other relevant software.
- Maintain knowledge of third-party payer regulations related to medical and therapy billing.
- Communicate effectively with insurance companies, patients, and team members to achieve billing objectives.
- Ensure accuracy and attention to detail in all revenue cycle processes.
- Manage various aspects of the revenue cycle, including registration, scheduling, and cash management.
- Utilize billing software and Microsoft Office proficiently.
- Handle multiple tasks while applying critical thinking in a dynamic environment.
- Verify eligibility for all scheduled patients and document in the electronic medical record (EMR).
- Obtain necessary authorizations for medical visits in advance.
- Follow up daily on outstanding authorizations to ensure resolution.
- Communicate with patients regarding insurance coverage for future services.
- Track approved therapy visits requiring re-authorization.
- Ensure accurate insurance information is retrieved and uploaded for every patient.
- Provide daily updates to the front desk regarding patient copay amounts and outstanding balances.
- Maintain an updated accounts receivable spreadsheet.
- Manage patient accounts through phone and letter protocols.
- Resubmit and appeal denied claims as necessary.
- Review schedules for additional patients to confirm eligibility and authorizations.
- Support front desk operations as needed and collaborate with all staff members.
- Perform additional duties as assigned.
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