Revenue Cycle Coordinator - Borrego Health : Job Details

Summary:Perform fiscal clerical work and review involved with billing to fiscal intermediaries for medical and dental services rendered. Revenue Cycle Coordinators are involved in working with medical billing records, reviewing, and verifying insurance and claim payments to accounts againstthird party billing program provisions and procedures. Revenue Cycle Coordinators are expected to solve routine problems without assistance while unusual problems are referred to a supervisor.Compensation:$20.17 - $23.53 per hour Essential Duties and Responsibilities:-Supports the revenue cycle process as an additional liaison between revenue cycle team and outsourced billing team.-Research billing and collections information to third party intermediaries for services rendered or for fees or other related charges.-Perform reviews to determine and prioritize claims submission, rejection, and denials issues as seen through claims transactions/results from Payers.-Review patient accounts to verify the accuracy of information and communicate required changes for proper billing purposes.-Review patient insurance as needed for completeness and accuracy required by county programs, government payers and private insurance carriers for filing and payment on medical and dental claims.-Follow-up on payment with insurance payers and patients on outstanding accounts as needed.-Respond to requests for account information concerning status of account, patient liability and general billing procedures to the revenue cycle team or outsourced billing team.-Check and communicate account or numerical records for arithmetical billing errors to outsourced billing team.-Monitor and submit explanation of benefits and payment information needed for payment posting to outsourced billing team.-Provide input to policies, systems, methods and procedures for the effective management and control of the premium billing function-Performs accurate and timely review of patient accounts in accordance with policies and procedures and in compliance with federal, state, insurance carriers, health plans and other third party payor requirements, as assigned.QUALIFICATIONS:Experience:One year of experience performing financial, statistical, or fiscal record keeping work, including medical billing.OrTwo years of clerical experience, one of which involved making arithmeticalcomputations of performing some financial, statistical, or fiscal record keeping and billingwork, preferably medical billing; One year of the non-specialized experience may besubstituted by either: Completion of 18 semester or 27 quarter units from a recognized college in business education or a closely related field.Minimum Qualifications:1. Diploma from an approved High School or GED Equivalent.2. Billing Certificate and/or minimum of two years' experience in a medical billing position, preferably in a non-profit organization3. Managed care and collections management experience preferred. Knowledge of OSHA, Title XXII, HIPAA, Corporate Compliance, and Rural Health Regulations preferredKnowledge, Skills and Abilities:1. Excellent oral and written communication skills2. Effective interpersonal skills3. Detail oriented with the ability to work with minimal to no supervision4. Ability to interface with all levels of personnel in a professional manner5. Ability to work with people of all social and ethnic backgrounds6. Work independently and as a team, take initiative7. Ability to handle multiple projects, prioritizes, and meets deadlines8. Able to use computer, calculator, telephone, operate fax, and copy machinePhysical and Mental Requirements:1. Able to lift/move up to 40 pounds, move from place to place, and stand for long periods of time2. Ability to do math, organize and prioritize workload, work effectively and efficiently under stress3. Ability to supervise, multitask, understand and follow instructions4. Ability to proficiently read, write, speak and understand EnglishCUSTOMER SERVICE:1. Actively supports, promotes, and works to fulfill the Mission, Vision and core values of Borrego Health2. Provides excellent internal and external customer service3. Demonstrates Borrego Health's Standards of Customer Service Behavior: Compassion, Attitude, Communication, Appearance, Sense of Ownership, and Teamwork4. Participates in on-going customer service trainings5. In every action, seeks to promote Borrego Health as a top service organizationQUALITY MANAGEMENT:1. Contributes to the success of the organization by participating in quality improvement activities2. Complies with all Borrego Health policies and procedures and pro-actively participates in the implementation of new initiativesSAFETY:1. Ensures compliance with policies and procedures related to safe work practices2. Uses all appropriate equipment and/or tools to ensure workplace safety3. Immediately reports unsafe working conditionsPRIVACY/COMPLIANCE:1. Maintains privacy and security of all patient, employee, and volunteer information and access to such information. Such information is accessed on a need to know basis for business purposes only2. Complies with all regulations regarding corporate integrity and security obligations. Reports unethical, fraudulent or unlawful behavior or activity3. Upholds strict ethical standardsFlexibility:1. Available for all shifts and, when required, able to work evenings and weekendsOther details

• Pay Type Hourly

Apply Now