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Billing Cycle Coordinator
2 months ago
At Cooper University Health Care, we prioritize exceptional healthcare, which starts with our dedicated team. Our remarkable professionals are consistently exploring clinical advancements and improving access to state-of-the-art facilities, equipment, technologies, and research protocols. We are committed to our employees by offering competitive compensation, a comprehensive benefits package, favorable working conditions, and opportunities for career growth through professional development.
Discover why Cooper University Health Care is recognized as the employer of choice in South Jersey.
Short DescriptionThe role involves supporting the Revenue Cycle through the analysis of critical performance metrics. This includes developing and refining reports that pinpoint issues and highlight potential opportunities. The position requires analyzing third-party denials and preparing relevant reports that track trends in third-party payments, denials, and rejections.
Collaboration with ancillary department staff and third-party payer representatives is essential to identify the sources of denials and to create processes aimed at reducing or eliminating delays in payments, underpayments, denials, and rejections to enhance cash flow.
Responsibilities include preparing, mining data, evaluating, resolving, distributing, and accurately recording statistics in a timely manner. Proficiency in managing all aspects related to third-party billing processes is crucial, with a focus on hospital and professional fee denial management, as well as fee schedule reimbursements. Regular updates to reports that help identify and rectify issues impacting revenue are also required. A review of individual denials to understand their causes is part of the role.
Monitoring denial trends and generating reports is necessary; recommendations for corrective and preventative actions will be expected. The role involves producing ad-hoc reports and actively participating in global revenue cycle initiatives while leading processes that affect operations within the revenue cycle.
Experience RequiredCandidates should have experience in data analysis and modeling, with the ability to creatively analyze data and present results effectively.
Familiarity with EPIC Enterprise is preferred. Knowledge of database management software such as Access and SQL is essential. Strong computer skills, particularly with the Microsoft Office suite, are required.
A thorough understanding of ICD-10, CPT codes, HCPCS codes, hospital and physician billing, as well as third-party reimbursements and contracts, is necessary.
Skills in software implementation and project management are also important.
Excellent interpersonal and superior writing skills are required. The candidate should be deadline-oriented and capable of working independently as well as in a team environment.
The ability to manage multiple complex and concurrent projects is essential.
Education RequirementsA BS/BA in Business or Finance is preferred; equivalent work experience (3 years in healthcare revenue cycle) may be accepted in lieu of a degree.
