Position Summary: Midwest Refuah Health Center is looking for a Revenue Cycle Coordinator to oversee the third-party billing processes, manage claims, and monitor revenue cycle reports to ensure efficient operations. This role will collaborate with various departments and staff to enhance the revenue cycle, improve claim submission processes, and maintain strong relationships with our third-party billing company.
Key Responsibilities:
- Oversee third-party billing, monitor their performance, and manage claims submissions.
- Monitor revenue cycle reports and identify areas for innovation and efficiency.
- Provide feedback to MRHC staff to enhance clean claims and improve timeliness of submissions.
- Implement and revise policies and procedures for an efficient revenue cycle process.
- Collaborate with internal teams, including revenue cycle and operations, to ensure timely and accurate credentialing processes.
- Maintain clearinghouse and insurance portal access.
- Verify and update EHR setup to ensure optimal performance.
- Coach Patient Services Representatives (PSRs) and clinical staff on EHR utilization to improve the revenue cycle.
- Guide PSRs on eligibility, patient copay, and balance collection practices.
- Serve as MRHC's EHR revenue cycle superuser.
- Maintain ongoing, professional communication with the third-party billing company.
- Manage patient inquiries regarding account balances and assist with payment plans and financial assistance applications.
- Assist with payment reconciliation and insurance check deposits.
- Oversee the distribution of patient statements.
Qualifications:
- 2-3 years of medical front office experience and insurance eligibility experience.
- Knowledge of billing terminology, and experience with Medicare, Illinois Medicaid, and Commercial Insurance
- Proficiency in using eClinicalworks.
- Experience working within an FQHC is preferred.
Skills:
- Ability to work independently, manage multiple tasks, and prioritize effectively.
- Strong interpersonal skills and the ability to maintain professionalism in stressful situations.
- Knowledge of healthcare systems and a willingness to learn.
- Ability to independently research and resolve complex issues.
- Collaborative mindset with the ability to work across teams.
Goals:
- Decrease days in accounts receivable.
- Increase patient collections at visits.
- Lower denial rates and improve credentialing standings.
- Enhance the utilization of EHR and create necessary rules to ease administrative burdens.
Reporting Structure:
- Reports to the Director of Quality and Compliance.
- Collaborates closely with PSRs, clinical staff, and the finance department.
Application Process: Interested candidates should submit their resume and cover letter outlining their qualifications and experience.
