Reimbursement Coordinator

About the role

Revenue Reimbursement Coordinator responsible for supporting the Revenue Management department in account reviews, payer adjudication validation, and analytic reporting.

Responsibilities

• Perform account-level reviews to ensure accurate reimbursement according to payer contracts.
• Validate insurance coverage, authorizations, and contract assignments, identifying barriers to timely payments.
• Track and analyze denials and systemic issues, escalating concerns as needed.
• Support analysis of accounts receivable reserves and prepare reports for escalations, appeals, and meetings.
• Collaborate with clinical and revenue cycle teams to address process gaps and prevent revenue leakage.
• Assist with payer escalations, revenue cycle projects, and other departmental duties.

Qualifications and Skills

• Associate’s/Technical Degree or equivalent; Bachelor's preferred.
• At least five years of hospital or medical office experience preferred.
• Strong analytical skills, attention to detail, and collaboration abilities.
• Knowledge of payer contracts, claims processing, and revenue cycle operations.

Additional Information

The role requires onsite work at Templeton, CA, and adherence to safety and vaccination policies. The position emphasizes teamwork, process improvement, and revenue optimization within a faith-based, nonprofit healthcare system committed to compassionate care.