Revenue Cycle Coordinator

The Revenue Cycle Coordinator is responsible for providing quality revenue cycle services to HEATHCAREfirst outsourced billing customers, with a focus of managing AR and customer relationships. This position must exercise accountability and professionalism in maintaining the high level of services our team and customers deserve. This role reports to the Supervisor of Operations Management.

Responsibilities:

• The Revenue Cycle Coordinator is responsible for driving results for customer including A/R follow up, RAP and NOE submission, reporting, appeals, day-to-day operations and cash collections.

• Provide subject matter expertise to the team in the following areas.

  • Billing Processes

  • EDI Information (if applicable)

  • A/R Management

• Learn all software of assigned accounts to assist with trouble shooting and training, as necessary.

• Establish and maintain a collaborative relationship with assigned customers.

• Identify and develop solution strategy to address operational issues and develop additional services.

• Understanding of industry payer rules, regulations, billing codes and requirements.

• Maintain confidentiality and knowledge of HIPAA regulations.

• Support implementation services by attending implementation meetings to include, but not limited to Billing Walk Through calls.

• Managing customer escalations by intervening or sending escalations through the proper channels

• Help promote a team environment at HEALTHCAREfirst.

• Managing customer results which includes ensuring the contracted services are being performed timely and accurately.

• Utilize Sharefile for all documents between the agency and HEALTHCAREfirst.

• Managing resources to ensure all timelines are achieved.

• Perform other duties as assigned.

Customer Service:

• Augments agency operations by building productive relationships with clients regarding their revenue cycle services.

• Informs and advises customer(s) of any internal agency process opportunities that may be delaying cash flow.

  • If agency is non-responsive, escalate the concern to a HEALTHCAREfirst RCM Billing Services Operations Manager or Client Success Manager.

• Communication with an agency regarding status of AR should be done by setting up calls with an agency and sending updated status reporting to the agency. This will ensure ongoing communication regarding revenue cycle operations.

  • Ensure timely and effective communication with focus on items that are urgent or require action by the agency.

  • Ensure use of agenda/ meeting documentation indicating outcome of meeting and any follow-up that needs to be completed. The agenda/ meeting documentation should be completed for each agency.

• Leverage multiple communication channels to ensure timely and accurate updates.

  • If no response is received with the same business day, a phone call will need to be placed the following business day to follow up with the agency.

  • Any communication from an agency is to be addressed within 24 hours. If it is of urgent matter, it is to be addressed immediately.

• Maintain a professional relationship with agency staff, keeping personal and internal HEALTHCAREfirst details to a minimum.

• Escalates unresolved customer grievances to the proper department, or management for further assessment.

Qualifications:

• Open to dynamic change and ability to thrive in such an environment.

• Ability to work independently with Initiative to take on new tasks, as necessary.

• Organized with the ability to multitask.

• Strong written and verbal communication skills

• Computer and office equipment proficiency with an aptitude for learning computer systems

• Advanced understanding of accounting principles with a focus on Accounts Receivables.

• 2+ years of healthcare billing and A/R management experience. Homecare & Hospice a plus.

• Prior experience working with the rules regulations, and billing codes for Medicare, Medicaid, and Private Insurance (preferred) for both Homecare and Hospice.

• Education equivalent to a High school diploma or extensive experience, college degree preferred.

• In Billing Services, we believe in teamwork. We expect the following of our teammates:

  • Maintain a professional demeanor, courteous and flexible always.

  • Willingness and ability to work effectively with members of other departments.

  • Participate in a collaborative environment where teammates are supportive of others succeeding to achieve overall success within HEALTHCAREfirst.

We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world’s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.

Individual pay decisions are based on a variety of factors, such as the candidate’s geographic work location, relevant qualifications, work experience, and skills.

At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.  A reasonable estimate of the current base range for this position is: $16.48 - $21.22/hr

​For remote positions located outside of the US, pay will be determined based the candidate’s geographic work location, relevant qualifications, work experience, and skills.