Healthcare Operations Coordinator

4 days ago


Cleveland, Ohio, United States Care Alliance Full time
About Us

Care Alliance Health Center is a leading provider of high-quality medical, dental, behavioral health care, and more, serving the Cleveland community for over 35 years.

We are committed to providing patient-centered care and promoting healthy lifestyles through education, prevention, and treatment services.

Job Description

We are seeking a skilled Revenue Cycle Management Professional to join our team. In this role, you will be responsible for managing all aspects of revenue cycle management, from billing and claims submission to follow-up and resolution of denied claims.

Estimated salary: $70,000 - $90,000 per year.

Responsibilities
  • Billing and Claims Submission:
    • Accurately process and submit claims to insurance companies, Medicaid, Medicare, and other payers.
    • Review and reconcile claims for errors or inconsistencies, ensuring compliance with payer guidelines and regulations.
  • Denials and Follow-up:
    • Follow up on denied or unpaid claims, identifying and resolving issues to maximize reimbursement.
  • Credentialing and Provider Enrollment:
    • Coordinate initial and re-credentialing processes for providers, ensuring compliance with payer requirements.
  • Compliance and Documentation:
    • Stay current on billing and credentialing regulations, payer policies, and coding updates to ensure adherence to industry standards.
Requirements
  • Education and Experience:
    • High School Diploma or equivalent required; Associate's degree in Business Administration, Healthcare Management, or related field preferred.
    • Minimum of 2 years of experience in medical billing and credentialing, preferably in a community health center or healthcare setting.
  • Knowledge and Skills:
    • Proficiency in medical billing software, electronic health records (EHR), and Microsoft Office Suite.
    • Strong understanding of medical coding (CPT, ICD-10) and payer requirements.


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