Medicine Revenue Cycle Management Coordinator

About the role

The Revenue Cycle Management Coordinator (RCMC 1) is a multi-disciplinary role within the Department of Medicine’s Billing Office (DOMBO), combining work from key revenue cycle functions including accounts receivable, charge entry, and payment posting.

Responsibilities

• Enters patient demographics, insurance information, and professional charges.
• Works accounts receivable and denials for assigned payers.
• Posts and reconciles payments into the professional billing system for services rendered by Department of Medicine (DOM) Physicians and Advanced Practice Providers (APP).
• Ensures all information entered in the professional fee billing system is precise and accurate.
• Other duties as assigned.

Requirements

• Works across at least 3 revenue cycle management disciplines and prioritizes areas of greatest need/focus.
• Ability to navigate complex disciplines with multiple locations, billing areas, and/or special workflows.
• Researches and conducts insurance verifications for applicable accounts with outstanding balances and/or on denied claims.
• Performs daily follow up on rejected claims in 5 or more insurance classes.
• Ability to work across all insurance classes, prioritizing work based on the greatest need/focus.
• Creates summaries of claims/denials issues within each insurance class.
• Performs daily follow up on a variety of reports that identify patient accounts with outstanding balances.
• Reviews applicable authorizations/referrals to ensure they are valid for the service being entered.

Qualifications

• High school diploma or general education degree (GED) preferred.
• Three or more years of experience in a physician billing office.
• Experience with resolution of claims edits preferred.
• PC proficiency, including MS Office software.
• Knowledge of Athena/GE/IDX, EPIC, or similar computerized billing systems.
• Knowledge of payers in specialty.
• Understanding of ICD-10 and CPT coding.
• Understanding of FSC's used in Athena/GE/IDX system, contractual requirements, and importance of compliance with all government regulations regarding billing.

Skills

• Strong organizational and attention to detail skills.
• Excellent communication and problem-solving abilities.
• Ability to prioritize tasks and manage multiple projects simultaneously.
• Proficiency in navigating complex healthcare billing systems.

Benefits

Details about benefits will be provided upon employment through the University of Maryland Faculty Physician’s Inc. Total Rewards Package, which includes health, life, career, and retirement benefits. For more information, visit this link.

Pay

The base salary range for this position is determined by multiple factors including the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor, and span of control. For more details, refer to the total rewards package.

Schedule

The schedule for this position will be determined during the hiring process based on the needs of the department and the individual's qualifications.