Revenue Cycle Project Coordinator

Responsibilities

• Identify potential areas of affected reimbursement, and create projects to recover all revenues.
• Monitor projects progression through the defined workflow and address potential issues.
• Develop a project plan for each project that will establish project timelines, tasks and milestones.
• Enhance the ability to increase revenue through targeted claims analysis, identifying systematic errors that affect revenue.
• Monitor ongoing performance of revenue cycle results through use of key performance indicators.
• Communicate and coordinate with representatives from various Managed Care payers on a routine basis.
• Work collaboratively with all departments within Revenue Cycle Operations to communicate potential factors impacting revenue.
• Identify revenue cycle trends to determine root cause and potential improvement opportunities.
• Advise management on matters affecting the revenue cycle operations and recommend enhancements and remedial efforts.
• Work with AR reports to identify problems on accounts, research accounts/trends, and take appropriate actions to promote reimbursement.
• Bill primary and secondary carriers for services provided, and collect on past due accounts.
• Research account requests for additional information such as referrals, scripts, medical reports, and/or call hospitals.
• EBOs to follow up on rejected claims and appeal denials; develop and track written correspondence.

Requirements

• Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations.
• Able to demonstrate effective and professional communication, interpersonal skills and respect with patients, guests & colleagues.
• Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world-class customer service.
• Knowledge of medical terminology and a working knowledge of different types of insurance plans.
• Strong Managed Care experience.
• Proficient Excel experience, including pivoting and manipulating data, creating visuals, such as graphs and charts to identify trends.
• Ability to type and have a general computer aptitude.
• Maintain professional judgment.
• Dependable, energetic, and ability to multitask.
• Detail-oriented and organized, with good analytical and problem-solving ability.
• Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.).

Qualifications

• High School diploma or GED required.

Skills

• Medical terminology
• Working knowledge of different types of insurance plans
• Managed Care experience
• Proficient Excel experience
• Effective communication and interpersonal skills
• Professional judgment and multitasking ability
• Detail-oriented and analytical problem-solving skills
• Use of PCs, Microsoft Office suite, and general office equipment

Benefits

• Comprehensive Medical, Dental and Vision coverages
• Health Savings Accounts with employer funding
• Wellness dollars
• 401(k) Employer Match
• Free services at any of our imaging centers for you and your immediate family

Pay

TBD

Schedule

TBD