Revenue Cycle Coordinator IV

Responsibilities

• Works within specific functions within the organization, providing leadership within team and assisting in guiding the actions of staff.
• Responsible for providing guidance and direction for staff in the absence of a supervisor, resolving simple and complex questions and providing performance feedback to supervisors and managers.
• Supports some aspects of billing office operations, including basic principles of staff management/supervision.
• Supervises and coordinates the daily activities for payment posting staff.
• Serves as a resource for answering questions and solving problems for difficult and unusual accounts.
• Troubleshoots problem identification, quantification, and resolution.
• Covers the development of monthly schedule, outlining individual duties and responsibilities, including but not limited to, electronic file processing, manual payment posting, refunding, Self-Pay and CC Payments.
• Responsible for the training and cross training of all employees within the department.
• Enters problems, employee errors, transactions and questions into respective databases and follows issues through to resolution.
• Resolves accounts on work queues relevant to the area.
• Researches accounts held from billing and reviews flagged accounts and research documentation in eRecord to ensure accuracy.
• Takes appropriate system actions on accounts based on billing guidelines and record research.
• Assists with monitoring and preparing performance evaluations for staff.
• Resolves conflict collaboratively through negotiation, involving management when needed.
• Maintains staff performance and develops methods of performance review and quality control.
• Provides specific feedback to staff on a continuing basis and in a timely manner, encouraging growth.
• Affords assistance in hiring, training and cross-training staff.
• Affords assistance in payer audits, including quarterly Medicare and Medicaid Credit Balance reports and additional credit balance reports issued by external partners.
• Reconciles client billing on a monthly basis.
• Affords assistance in performing payment application activities, including but not limited to, posting electronic files, posting self-pay payments, posting third party commercial payments, reversing charge off accounts sent to the collection agency, posting manual insurance payments, posting denials, credit card payments and authorization, and processing patient refunds to ensure coverage during staff absences, as needed.
• Recommends, develops and implements policies and procedures.
• Reviews and updates existing policy and procedure manual.

Qualifications

• Associate's degree and 3 years of relevant experience required
• Or equivalent combination of education and experience