Revenue Cycle Coordinator-Accounts Rec

REMOTE WORK OPPORTUNITY

Your time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities.

CHI Health provides you with the same level of care you provide for others. We care about our employees’ well-being and offer benefits that complement work/life balance.

With you in mind, we offer the following benefits to support your work/life balance:

• Health/Dental/Vision Insurance 
• Direct Primary Plan (No copay, no deductible, and access to CHI Health provider 24/7)
• Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care
• Voluntary Protection: Group Accident, Critical Illness, and Identity Theft 
• Employee Assistance Program (EAP) for you and your family
• Paid Time Off (PTO) 
• Tuition Assistance for career growth and development
• Matching 401(k) and 457(b) Retirement Programs
• Adoption Assistance
• Wellness Programs
• Flexible spending accounts

From primary to specialty care as well as walk-in and virtual services CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

This job is responsible for performing Revenue Cycle functions in accordance with applicable guidelines. An incumbent serves as a liaison between Clinics, Revenue Cycle and other departments on questions regarding assigned Revenue Cycle functions. In addition, an incumbent is responsible for assisting Supervisor and/or Manager with daily tasks as assigned which may include reporting, audits, training, creating standard operating procedures etc. according to proper billing guidelines.  Work requires attention to detail, the ability to accurately and timely troubleshoot/resolve questions/issues and to resolve (within scope of the position) issues which may have a potential impact on revenues.

Serves as a “coordinator” resource for other staff in their assigned functional unit and assists Supervisor/Manager
through the transmission of work instructions and participation in the planning, development, and
implementation of new/revised procedures.
Reviews work to facilitate efficient workflows; assists Supervisor/Manager with hiring interviews and staff
orientation/training; and provide feedback on staff performance as requested.

Responds to emails and calls from team members/leaders in an organized, accurate and timely manner.
Explains various billing issues affecting reimbursement, including billing edits, reimbursement
methodology, denial trends, and payer regulations or requirements to clinic representatives.
Provides feedback and training to clinic staff based on examples and/or trends identified in the Revenue
Cycle as necessary.
Applies knowledge of CMS and other insurance billing guidelines and regulations, payer contracts and
reimbursement as well as experience with insurance review to gather additional information, as
necessary.
Identifies trends in denials and billing issues and identifies resolutions accordance with established
guidelines.

Works collaboratively with payers and Revenue Cycle staff to explain denial or underpayment issues.
Establishes and maintains a professional relationship with clinics and staff in order to resolve issues.
Maintains professional telephone and e-mail communications.
Depending on role and Epic training, may be called upon to support other areas in the Revenue Cycle.
Communicate audit and production standards and reviews to Revenue Cycle staff to improve proper
handling of accounts

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.

Required Education and Experience

• 2 years of Revenue Cycle Experience.
• Knowledge of medical insurance, CPT and ICD codes.
• Knowledge of medical insurance, payer contract, and basic
  medical terminology and abbreviations.
• Ability to understand and apply detailed billing requirements
  and insurance follow-up practices.
• Ability to identify and articulate non-compliance with
  established guidelines and/or regulatory requirements.
• Ability to troubleshoot, understand and/or adapt moderately
  complex oral and or written instructions/guidelines to
  diverse or dissimilar situations.
• Ability to maintain confidentiality of medical records, and to
  use discretion with confidential data and sensitive
  information.