Front End Revenue Integrity Coordinator

AAC offers a progressive culture that values work/life balance, invests in employee education, and fosters trust and respect. Benefits include company-matching 401K, medical, dental, vision, and life insurance. Join a team dedicated to providing quality, compassionate, and innovative care to adults struggling with addiction and co-occurring mental health disorders.

About the role

The Front-End Revenue Integrity Coordinator plays a critical role in protecting organizational reimbursement by proactively identifying and resolving insurance eligibility, ACA coverage, and Coordination of Benefits (COB) issues before claims are submitted. This remote, non-patient-facing position partners with Admissions, Facility Operations, Utilization Review, Revenue Cycle, and third-party partners (Hansei, FinPay) to improve reimbursement outcomes, strengthen insurance compliance, and support front-end revenue cycle operations.

Responsibilities

• Insurance Eligibility Monitoring
  • Perform ongoing insurance eligibility re-verifications for ACA Marketplace plans and other designated insurance products throughout a patient's treatment episode.
  • Monitor insurance coverage for active eligibility, coverage terminations, grace period status, and premium payment issues.
  • Identify changes in insurance status that could impact reimbursement and escalate concerns to facility personnel for timely resolution.
• ACA Policy Management
  • Conduct routine eligibility reviews for ACA Marketplace policies.
  • Identify unpaid premiums, grace periods, and pending or completed policy terminations.
  • Communicate findings and recommended next steps to facility teams and monitor outstanding issues through resolution.
• Coordination of Benefits (COB) Management
  • Perform routine COB verification reviews.
  • Identify multiple active insurance policies, incorrect payer sequencing, and missing or outdated COB information.
  • Communicate required updates to facility teams and track outstanding COB issues through resolution.
• Facility Communication & Resolution
  • Serve as the primary point of contact for facility teams regarding insurance eligibility and coverage concerns.
  • Communicate insurance changes requiring immediate action to prevent reimbursement interruptions.
  • Partner with facility staff to resolve eligibility, ACA coverage, and COB issues before claims submission.
  • Document communications, actions, and issue resolution in designated revenue cycle systems.
• Revenue Integrity & Denial Prevention
  • Monitor insurance eligibility reports to identify trends that may negatively impact reimbursement.
  • Identify recurring eligibility, COB, and coverage issues contributing to preventable claim denials.
  • Collaborate with leadership to recommend workflow improvements for front-end revenue cycle processes.
  • Maintain reports and tracking tools supporting insurance monitoring and denial prevention.
  • Support departmental goals focused on improving reimbursement, reducing preventable denials, and increasing revenue integrity.
  • Assist with insurance-related audits and compliance initiatives.
• Vendor & Revenue Cycle Collaboration
  • Develop and maintain effective working relationships with third-party revenue cycle vendors (Hansei, FinPay).
  • Coordinate exchange of eligibility, insurance, payment, and documentation information to support reimbursement activities.
  • Assist with documenting, tracking, and resolving insurance or payment issues identified by internal teams or external partners.
  • Support implementation of new revenue cycle workflows, technology enhancements, and process improvements involving vendor partners.
• Data Integrity & Documentation
  • Maintain accurate documentation in Salesforce and other designated revenue cycle systems.
  • Ensure eligibility findings, COB updates, and insurance communications are documented accurately and timely.
  • Maintain organized, audit-ready documentation supporting reimbursement activities.

Requirements

• High school diploma or equivalent required; Associate's or Bachelor's degree in Business, Healthcare Administration, Finance, or related field preferred.
• Minimum of two (2) years of experience in healthcare insurance verification, eligibility, patient access, medical billing, revenue cycle, or related healthcare financial role.
• Working knowledge of commercial insurance, ACA Marketplace plans, Coordination of Benefits (COB), insurance eligibility verification, managed care principles, and healthcare reimbursement processes.
• Experience using eligibility verification platforms (e.g., Availity) preferred.
• Experience using Salesforce, Google Workspace, and revenue cycle software applications preferred.
• Strong analytical and critical thinking skills with exceptional attention to detail.
• Excellent written, verbal, and interpersonal communication skills.
• Ability to prioritize multiple responsibilities in a fast-paced environment.
• Demonstrated ability to work independently and collaboratively across departments.

Skills

• Revenue Integrity
• Insurance Eligibility & Coverage Analysis
• Coordination of Benefits (COB)
• Denial Prevention
• Revenue Cycle Knowledge
• Critical Thinking & Problem Solving
• Process Improvement
• Cross-Functional Collaboration
• Organization & Time Management
• Attention to Detail
• Documentation Accuracy
• Customer Service & Professional Communication

Benefits

• Company-matching 401K
• Medical, dental, vision, and life insurance

Physical Requirements

• Prolonged sitting at a desk
• Ability to lift 15 pounds at a time

AAC provides reasonable accommodations to comply with state and federal disability discrimination laws.