Position Summary

This position acts as a liaison between the Providers, Practice Managers, staff, and patients at our client site with the team at Advantum Health. Maintaining a positive client experience through the development of strategic plans and programs for the Revenue Cycle team is paramount to our success. This position will be located onsite at our client’s location in Salisbury, MD.

Position Responsibility:

• Develop policies and guidelines and implement procedures to ensure department-wide consistency.
• Enhance and standardize workflow processes and document appropriately.
• Ensure audit/monitoring process for all RCM functions to include Charge Entry and Revenue Management staff.
• Ensure department activities are managed pursuant to the Policies & Procedures Manual. Such activities include but are not limited to claim processing turnaround time, credit balance refunds, and denial management.
• Monitor the effectiveness of collection efforts.
• Compiles, analyzes, and prepares various status reports for review to identify trends and make recommendations.
• Annual review of Policies and Procedures to ensure up-to-date RCM practices are being achieved.
• Weekly RCM department staff meetings with written agenda to include updates, trends, discussion of clients, etc.
• In conjunction with the Advantum Patient Helpdesk (Call Center), ensure high levels of patient satisfaction.
• Weekly meetings with Revenue Cycle team at Advantum Health to ensure positive communication and alignment.
• Maintain up-to-date expertise and knowledge of healthcare billing and related laws and regulations.
• Design and develop training programs that will further enhance the competencies of department staff and of the organization’s clients.
• Works with Director to establish baseline benchmarks for department functions and department staff member productivity.
• Handles escalation of complex patient and/or client complaints.
• All other duties as assigned for the Client and in collaboration with Advantum Health Revenue Cycle leaders.

Required Skills:

• Possesses thorough knowledge of accounts receivable, insurance payment policies, and insurance requirements/procedures.
• Demonstrates attention to detail with the ability to problem solve.
• Possesses aptitude to think and work independently.
• Performs mathematical functions proficiently.
• Demonstrates strong communication skills to interact with patients, the client staff, and management.
• Utilizes excellent customer service skills.
• Demonstrates computer proficiency with regards to data entry and basic PC use
• Experience working with insurance companies and have extensive knowledge of different types of coverage and policies
• Other duties as assigned by supervisor or manager
• Must have excellent multitasking skills, with the ability to work on many projects at once.
• Must be very detail-oriented and organized to maintain accurate patient insurance records
• Must work well with others, as they will work as part of a health care team, striving to provide patients with the best care possible
• Answer inquiries promptly and in a polite and professional manner
• Obtain and enter accurate information into the client’s system
• Utilize client system, medical records, and other documents to successfully authorize procedures and medications
• Answer questions and offer other information, as requested, to provide patient-focused service and a positive impression of the organization
• Suggests improvements and participates in organized efforts to improve service levels
• Adheres to all HIPPA policies
• Act as a liaison for the client, patient, and facilities
• Understanding of when to escalate situations to Supervisor
• Contacts insurance companies and patient regarding insurance
• Communicates with practice via email and written communication regarding coverage
• Aid team members in maintaining turnaround times as expected from client
• Account for internal control responsibilities in line with the organization’s objectives
• Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA)

Qualifications:

• Minimum of 5 years in the healthcare revenue cycle.
• Ability to make decisions accurately and decisively.
• Well-developed interpersonal skills and the ability to get along with diverse personalities.
• Client-facing experience preferred.
• Broad understanding of medical billing and RCM operations.
• Skillful in problem resolution.
• Excellent analytical and problem-solving skills.
• Excellent oral and written communication skills.
• Excellent organizational and time management skills.
• Ability to work effectively with a broad range of people.
• Ability to handle multiple assignments simultaneously.
• Ability to lead others toward objectives and goals.
• Ability to analyze data and turn it into actionable sights/trended information for a client to understand.
• Process improvement and change management experience preferred.
• Proactive mindset.
• Solid relationship-building skills.
• Orthopedic Experience

Work Environment/Physical Demands/Travel Requirements:

• The Revenue Cycle Coordinator typically works in an office setting during regular business hours.
• The role may involve working under pressure to meet tight deadlines, managing conflicting priorities, and adapting to changes in project requirements.
• Overtime may be required at times to meet the demands of leading the team.

Job Type: Full-time

Pay: $40,000.00 - $50,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Authorization: 4 years (Required)
• Athena: 2 years (Preferred)

License/Certification:

• Medical Coding Certification (Preferred)

Work Location: In person