Revenue Cycle Coordinator

Revenue Cycle Coordinator The Revenue Cycle Coordinator will be responsible for supporting management in maintaining, improving, processing, and evaluating the billing and collection of accounts receivable for the Medical Group and/or resolve complex payer issues to completion daily. This may encompass working the receivable of multiple practices and will comprise of the receivable of multiple third-party payers, as well as, supporting management in the overall execution of Revenue Cycle collection duties. The duties include, but are not limited to: Complete A/R resolution, corrected claims, appeals Maintains data in billing management system, i.e. updating current and adding new demographic information, and ensures that documentation entered is accurate and complete. Interacts / communicates effectively with various department staff and assists customer service inquires both internally and externally. Contacting payors for claims status and dispute resolution Charge capture, collections processing and payment posting May perform other duties as assigned. Qualifications or Education, Training and Experience: High School Diploma or GED required Minimum 3-5 years' experience in physician billing Experience working in a physician practice preferred athenaNet experience preferred Detail oriented Working knowledge of Microsoft Office Word and Excel Knowledge and Skills/Expected Competencies: • Knowledge of accounting, healthcare, and general office procedures, preferred. • Working knowledge of collection processes and insurance verification and pre-certification processes. • Requires ability to understand, interpret, evaluate, and resolve basic customer service issues. • Intermediate knowledge of accounting principles which directly impacts the accounts receivable that may include debit and credit transactions; charge transfers; contractual allowances and adjustments and financial class changes. • Knowledge of the state and federal reimbursement and regulatory guidelines to ensure compliance with State regulations regarding patient and insurance billing issues, preferred. • Knowledge of medical terminology • Requires knowledge of common revenue cycle accounts receivable terms, common business practices, and statute of limitations as it pertains to billing, appeals, payer requests, payments, retractions, and EOBs. • Requires knowledge of billing, collection, and telecommunications software • Understands HCPC and/or CPT coding issues that could impact a claim. • Requires knowledge of up to date HIPAA and HITECH rules and regulations. • Demonstrates ability to assist in mentoring others in regard to the department's payers and revenue cycle processes. • Ability to work the receivable of multiple facilities with experience, knowledge, and skills that are transferable to other tasks and assignments. • Understands common terms used daily in carrying out tasks. Physical/Mental Demands and Work Environment: The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Examples of Work Environment While performing the duties of this job, the employee is regularly required to {Pick from these for example: walk, bend, sit, talk, lift, or hear.} The employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, postage meter, fax machine and printer). The employee may occasionally lift and/or move between 10 and 25 pounds. Specific vision abilities required by this job includes close vision and ability to adjust focus. The employee may need to travel to healthcare practices The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually low to moderate. Equal Employment: Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence and leads New Jersey in provider and patient satisfaction. Consensus Health values diversity, inclusion, and equity as matters of fairness and effectiveness . We are committed to hiring and retaining a staff that reflects the diversity of the communities we serve, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged . Consensus Health is an Equal Opportunity Employer and encourages applications from individuals underrepresented in the medical sector, including people of color, and persons with non-traditional work and educational experience. All who believe they meet the stated qualifications are invited to apply. Company Safety: We believe that the best care for our patients starts with the best care for our employees. Consensus Health is committed to proactively creating and maintaining an environment that is safe for our team and patients. Employees are required to wear Personal Protective Equipment (PPE) including face masks, gloves, gowns, and more as appropriate.