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Revenue Cycle Coordinator

2 months ago

Natick, Massachusetts, United States Roessel Joy Full time
Job Overview
Roessel Joy is in search of a dedicated Medical Billing Clerk to join our team. The ideal candidate will possess a solid understanding of medical coding and billing processes within a healthcare setting, familiarity with medical terminology, and experience with relevant software systems.

Key Responsibilities:
  • Efficiently processes and submits Medicare and Medicaid claims, adhering to payer guidelines and organizational policies.
  • Assists in generating monthly billing and accounts receivable reports.
  • Maintains accurate and comprehensive billing and accounts receivable documentation.
  • Notifies management regarding any late or missing documents necessary for billing.
  • Supports the collection of receivables by tracking accounts, resubmitting invoices to overdue accounts, and informing the billing manager of significantly overdue accounts.
  • Ensures effective reimbursement through streamlined billing and collections processes and proficient accounts receivable management.
  • Maintains billing and patient account systems in compliance with generally accepted accounting principles and applicable regulations.
  • Possesses thorough knowledge of payer contracts to ensure billing aligns with contract stipulations.
  • Stays informed about government billing regulations, including Medicare and Medicaid, serving as a resource for relevant personnel.
  • Collects and reports essential billing data to the Finance Director.
  • Collaborates with the Finance team to reconcile billing system reports with the general ledger.
  • Oversees the billing information system, ensuring familiarity with system updates and enhancements.
  • Fosters positive relationships with patients, family members, payers, and referral sources.
  • Conducts pre-billing audits to verify documentation accuracy.
  • Generates end-of-month reports detailing revenues, expenses, accounts receivable, and collections.
  • Performs additional duties as assigned, including specific projects related to billing, data entry, and operational tasks.

Qualifications:
  • Minimum of 2 years of experience in accounts receivable or healthcare data entry, preferably within home health care.
  • At least 1 year of experience in healthcare billing, ideally in home health care.
  • Familiarity with McKesson software and/or exposure to various billing software platforms.
  • Strong attention to detail, organizational skills, and the ability to manage multiple tasks in a dynamic environment.
  • Excellent verbal and written communication skills, along with proficient business telephone etiquette.
  • Proficient in Microsoft Office and internet applications.