Accounts Receivable Coordinator

Work You'll Do/Responsibilities

• Review AR aging reports and work queues to identify unpaid and delayed claims.
• Follow up with third party payers, including commercial and government payers, on outstanding balances to understand claim status and payer requirements to adjudicate claim.
• Analyze claim status, remittance advice, and Explanation of Benefits (EOBs) to determine root causes of non-payment.
• Document claim status details and payer-provided information.
• Provide account information to payers and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.
• Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed.
• Review payments, contractual adjustments, denials, and patient responsibility balances to validate accurate account resolution.
• Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows.
• Maintain productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management.

Qualifications

• 1+ years of experience in hospital accounts receivable follow-up operations or related revenue cycle functional area.
• 1+ years of foundational proficiency in Epic Resolute Hospital Billing application.
• 1+ years of experience working according to high performing productivity and quality standards; experience working in claims clearinghouse system.
• Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience.

Pay

$50,000 - $60,000 annually