Revenue Cycle Coordinator - OMFS

Location: Upper East Side, NYC • Non-Exempt • Full-time (35 hrs/week, Monday–Friday)

About the Role

Supports front-end revenue cycle operations by coordinating insurance verification, referrals, authorizations, patient financial estimates, and billing documentation, in addition to collecting all required patient payments.

Responsibilities

• Collect patient and Good Faith Estimate (GFE) payments.
• Alert administrative team to non-covered or self-pay patients; determine whether GFE is needed or if payment is to be collected.
• Verify patient insurance eligibility and obtain necessary pre-authorizations for in-office and hospital procedures prior to appointment date.
• Facilitate communication and collection of any fees due from patients.
• Obtain Letters of Medical Necessity (LOMNs) and appeal documentation from residents and surgeons; forward completed documentation to the Practice Supervisor or administrative team.
• Obtain financial clearance and address any prior balances patients may have.
• Document all authorization numbers in Epic and relay information to the division administrative team.
• Review upcoming patient schedules at least three days in advance to identify and resolve missing referrals and authorization requirements, collaborating with the division administrative team.
• Answer incoming customer service calls regarding billing issues, general inquiries, and collect credit card payments/authorizations.
• Collaborate with providers, clinical staff, coding, and revenue cycle teams to ensure timely financial clearance, regulatory compliance, and accurate reimbursement.
• Initiate and prepare written correspondence as needed based on functional requirements.
• Perform other job-related duties as required.

Requirements

• High School Diploma (Bachelor’s Degree preferred).
• Approximately 3 years of medical billing or pre-authorization experience; dental billing and authorization preferred.

Skills & Abilities

• Demonstrated ability to function independently and exercise independent judgment.
• Strong communication and interpersonal skills; ability to interact with multiple constituencies and exercise “people skills.”
• Organizational skills and ability to pay close attention to detail.
• Critical thinking and analytical skills.
• Ability to multi-task and prioritize in a fast-paced environment.
• Ability to remain focused despite frequent interruptions.
• Ability to treat confidential information with utmost discretion.
• Professionalism in appearance, presentation, and demeanor.
• Ability to work effectively in a collaborative manner with faculty, staff, and institutional representatives.

Pay

$28.68 – $32.80 per hour (as required under NYC Human Rights Law Int 1208-2018).