REVENUE CYCLE COORDINATOR - FULL TIME

Description

Essential Functions

• Develop and maintain report summaries for key indicators, to include national standards (where available) and department standards and goals.
• Collect, analyze, and interpret data related to A/R, reimbursement, and collections as directed.
• Keeps PFS departmental tracking up to date. Acts as liaison for questions or assistance with payroll. Ensures that supplies and equipment is maintained.
• Ensure that Cosmetic fee schedule is correct and updated, communicate the providers payer changes quarterly. Stay current with where A/R charges are and actively identify trends.
• Works to resolution disputes and appeals the third-party denials. Identifies, reviews and corrects denials for inappropriate payment, Reviews claims for completeness and compliance with established Medicare billing guidelines.
• Contests charges that are not paid or under paid. Accesses available third part and governmental on-line services. Documents all actions taken within system.
• Assists in the completions of coding edits as well as special projects that require coder for processing.
• Assist in operations review to facilitate long-term financial success while maintaining compliance.
• Expands job-related knowledge and skills to improve Department performance.
• Serves as an effective communication liaison between the Department, Physicians, and Administration.
  
  

Requirements

Required Education and Experience:Education: High School graduate and AA/bachelor’s degree in Business Administration or related field preferred. Certification with the American Academy of Professional Coders (CPC) within 6 months of hire/transfer.

Experience: Minimum 5 years’ experience in physician practice management. Current knowledge of State and Federal laws and regulations. Advanced knowledge of Microsoft office applications to include Access. Experience with the claim’s adjudication process for multiple governmental agencies and private insurance carrier. Current CPT and ICD-10 coding knowledge, and basic medical terminology. Excellent interpersonal and communication skills. Excellent organizational skills. Ability to work independently and exercise appropriate judgment. Ability to create effective spreadsheets and graphs to analyze data and trends, and to make appropriate management decisions. Ability to prepare and present effective formal presentations. Professional appearance and manner.

Additional Eligibility Qualifications: Excellent written and oral communication skills. Excellent computer PC skills with knowledge of spreadsheets. Excellent CPC analytical skills preferred