Revenue Cycle Coordinator

Revenue Cycle Coordinator

Finger Lakes Community Health (FLCH) was founded in 1989 with an original mission of serving the region's agricultural workers by linking individuals to area resources and providing essential health services. In 2009 the organization expanded to become a Federally Qualified Health Center (FQHC), serving patients of all incomes, ethnicities and walks of life. Over the last decade, FLCH has grown to provide medical, dental, and behavioral health services to over 28,000 patients at eight health centers. With over 200 employees, we strive to provide high-quality and innovative health care services to the Finger Lakes Region.

Benefits Offered:

• Monday through Friday schedule, closed all major holidays
• Medical, Dental, Vision, and Life insurance
• Safe Harbor 3% 401k contribution
• Robust PTO offerings
• Education assistance

Job Summary:

The Revenue Cycle Coordinator coordinates the organization's revenue cycle activities and serves as the primary liaison between FLCH and its external billing partner. This position monitors billing performance to support timely charge capture, claims submission, payment posting, account resolution, and reimbursement while maintaining compliance with Medicare, Medicaid, payer, and Federally Qualified Health Center (FQHC) requirements. The Revenue Cycle Coordinator works closely with Finance, health center operations, clinical leadership, Health Information, Credentialing, Compliance, and external partners to resolve billing issues, improve workflows, meet reporting requirements, and support the financial sustainability of the organization.

Main Responsibilities:

Revenue Cycle Coordination

• Coordinate with internal clinical and operational departments to resolve registration, documentation, coding, and charge-entry issues.
• Facilitate consistent revenue cycle meetings with external billing representatives and FLCH leadership.
• Assist the external billers with rejections and denials resolution by providing documentation and ensure corrections are implemented promptly.
• Ensure timely delivery of any payer remits, contracts, or other documents to the external billing team for timely and accurate work flows.
• Reconcile deposits in bank to payments posted in eCW; in cooperation with Finance, investigate and resolve any discrepancies.
• Perform annual analysis of master fee schedule and perform approved updated in eCW.

FQHC Billing and Reimbursement

• Monitor compliance with Medicare, Medicaid, managed care, commercial payer, and FQHC billing requirements through report analysis, random sampling, and other appropriate means.
• Maintain knowledge of NYS Medicaid Prospective Payment System reimbursement, Medicare FQHC billing, wraparound payments, and payer-specific requirements.
• Complete quarterly CHP reports and voucher for wrap payment.
• Analyze and prepare data reports of threshold visits and payments for annual filing of the AHCF and MCVR reports.

Compliance and Payer Relations

• Support billing reviews, payer audits, independent coding audits, and documentation requests
• Maintain revenue cycle policies and procedures.
• Maintain positive relationships with payers and oversee a cycle of periodic contract reviews and negotiation.

Reporting and Collaboration

• Assist Finance with month-end revenue reconciliations, annual budgeting/forecasting, and financial audits.
• Provide education/training to clinical and operational teams as needed to address identified trends.
• Educate providers, managers, and staff regarding billing requirements and revenue cycle processes.
• Coordinate with provider operations for periodic 3rd party coding audits and education.
• Participate in system implementations, service expansions, and process improvement initiatives.
• Supervise patient accounts specialist and dental contracts specialist, ensuring workflows align with goals for timely and accurate claims submissions and reimbursement.

Other Duties As Assigned by Supervisor

Education and Qualifications:

• Revenue cycle, billing, or coding certification is preferred.
• Five of healthcare billing or revenue cycle experience required.
• Prior employee supervision experience required.
• Management experience preferred.
• FQHC experience strongly preferred.
• Knowledge of healthcare billing, reimbursement, claims processing, and accounts receivable management.
• Knowledge of Medicare, Medicaid, managed care, and FQHC reimbursement requirements.
• Proficiency with electronic health records, practice management systems, clearinghouses, and Microsoft Excel.

Physical Requirements:

• Must be able to hear and communicate with clients and staff on the telephone and those who are served "in person."
• Must be able to lift up to 10 pounds.
• Must have vision that is adequate to read memo's computer screen, registration forms, and other documents.
• Must possess manual dexterity, to perform writing and keyboarding tasks.
• Prolonged periods of sitting and working at a computer.
• OSHA Level 2

Finger Lakes Community Health uses BambooHR for the hiring and onboarding of our staff. All communications for recruitment will come directly from BambooHR (View email address on click.appcast.io) and may appear as spam