The Revenue Cycle Coordinator (RCC) is responsible for execution of all Revenue Cycle functions to include claims submission & adjudication, denial management, patient & practitioner certification, preauthorization, eligibility, & regulatory compliance. The RCC is familiar with all Medicaid & Third-Party Payor processes, a data driven critical thinker with advanced problem-solving skills to achieve positive outcomes, & an effective communicator across diverse levels of internal & external stakeholders What you'll do: - Ensures clean claims submission, timely payment posting, & expedient denial management
- Communicates with all funding sources and internal parties with timeliness & efficacy to prevent or quickly resolve related issues.
- Maintains awareness, tracking, & reconciliation of accounts receivable balances and issues
- Relays changes with payor processes & regulations to appropriate personnel
- Develops & maintains expert level of EHR platform.
- Manages timely & accurate submission and disposition of authorization requests
- Assists as needed with both Agency & Practitioner credentialing / market expansion
- Understands workflow & function of all positions in agency
- Performs routine insurance eligibility verification
What you will need to have: - Minimum of 1-year related work experience
- Prior experience with ABA specific billing highly preferred
- High level of critical thinking, problem solving, & data driven decision making
- Highly proficient with Microsoft Excel, EDI transactions, & EHR platforms
- Ability to develop and maintain professional relationships with clients, co-workers, supervisors, and community members
- Ability to work independently with onus for outcomes without direct oversight
- Commitment to maintain client confidentiality and adhere to HIPPA laws
- Commitment to ongoing training and development as it relates to industry skills, professional development, ethics, technology, and training in order to perform job responsibilities to required standard
- Must maintain a professional appearance and appropriate boundaries with clients, families and stakeholders
What we offer you: - Paid Company Holidays
- Paid Time Off (PTO)
- 401K Retirement Plan
- Medical, Dental and Vision
- Health Savings Accounts
- Short-Term and Long-Term Disability Benefits
- Supplemental Life Insurance with Accidental Death and Dismemberment Insurance
Job Type: Full-time
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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