Revenue Cycle & Credentialing Coordinator

Revenue Cycle & Credentialing Coordinator Department: Finance / Revenue Cycle Reports To: Chief Financial Officer Location: Charleston, WV Position Summary The Revenue Cycle & Credentialing Coordinator is responsible for supporting the organization’s revenue cycle operations through billing oversight, cash receipts processing, provider credentialing, payer enrollment, contract administration, and reimbursement support. This position serves as a key liaison between clinical operations, payers, and finance to ensure timely reimbursement, regulatory compliance, and accurate provider enrollment across all service lines. Essential Duties and Responsibilities Revenue Cycle Operations Assist with oversight of palliative care billing processes. Monitor claims submission, payment posting, denials, and accounts receivable follow-up. Research and resolve billing discrepancies, rejected claims, and payer issues. Coordinate with clinical and operational departments to obtain documentation necessary for claim resolution. Track and report revenue cycle performance metrics, including aging, denial trends, and reimbursement concerns. Support month-end revenue and receivable reconciliation activities. Cash Receipts & Payment Processing Process and reconcile daily cash receipts and electronic remittance activity. Verify accuracy of payments received from Medicare, Medicaid, managed care, and commercial payers. Assist with preparation of deposit documentation and cash reconciliation reports. Investigate unapplied cash and payment variances. Maintain supporting documentation for audit and compliance purposes. Credentialing & Provider Enrollment Manage provider credentialing and recredentialing activities. Coordinate payer enrollments, updates, and revalidations for physicians, nurse practitioners, and other providers. Maintain credentialing files, licenses, certifications, malpractice coverage, and supporting documentation. Monitor enrollment deadlines and renewal requirements to avoid interruptions in reimbursement. Serve as primary contact with Medicare, Medicaid, and commercial insurance credentialing representatives. Contract Management Maintain payer contract database and supporting documentation. Track contract renewals, amendments, and reimbursement changes. Assist leadership with reviewing payer reimbursement terms and contract compliance. Coordinate communication regarding contract implementation and updates. Reporting & Compliance Maintain accurate records and documentation supporting billing and credentialing activities. Prepare reports related to credentialing status, payer enrollment, reimbursement issues, and revenue cycle performance. Support internal and external audits. Ensure compliance with Medicare, Medicaid, HIPAA, payer, and organizational requirements. Qualifications Education Associate degree in Accounting, Business Administration, Healthcare Administration, or related field required. Bachelor’s degree preferred. Experience Minimum of three years of healthcare billing, revenue cycle, credentialing, or related healthcare finance experience. Hospice, home health, palliative care, or post-acute care experience strongly preferred. Experience with Medicare and Medicaid billing processes required. Experience with provider credentialing and payer enrollment preferred. Knowledge, Skills, and Abilities Knowledge of healthcare reimbursement methodologies and payer requirements. Understanding of provider credentialing and enrollment processes. Strong attention to detail and organizational skills. Ability to analyze data and identify billing or reimbursement issues. Proficiency in Microsoft Excel and healthcare billing systems. Strong written and verbal communication skills. Ability to handle confidential information with discretion. We also offer, competitive benefits, 5% employer 403B retirement match, vacation, sick, holiday and personal leave. HospiceCare also participates in the WV Tri-Share Childcare program. #J-18808-Ljbffr HospiceCare