Stance Health Solutions, uniting SG Homecare and Western Drug · 1 month ago
Revenue Cycle Coordinator
La Crescenta, CA
Full-time
Onsite
Entry Level
1+ years expStance Health Solutions is a company that unites SG Homecare and Western Drug. They are seeking a Revenue Cycle Coordinator who will manage the revenue cycle, process and submit claims to insurance companies, and ensure timely collection of payments.
Hospital & Health Care
Responsibilities
Meet with Revenue Cycle Supervisor and Director to discuss areas of concern
Answers questions and provides solutions to Revenue Cycle Management team
Creates and updates Standard Operating Procedures (SOPs) and Work Aids for both domestic and global revenue cycle teams
Supports Daily and Weekly Communication of Payer, Product and Process Updates to both domestic and global teams
Reviews request from team members for updates to payer / system configuration and submits to the appropriate team for system update
Monitor and report on key performance indicators related to revenue cycle activities, such as claim denial rates, time to payment, and outstanding accounts receivable, to identify areas for improvement
Work on complex and intricate revenue-related matters
Supports global team and provides feedback though QA, reviews and huddles
Monitors work completed by global partners and resolves tasks the global team cannot resolve
Trains and provides support to domestic and global team members
Submits price table, payer rule, and system configuration updates to designated team
Provide feedback to Intake team members on processing errors that have taken place
Process and submit insurance claims to various payers, ensuring accuracy in coding and billing information to minimize denials and delays
Review patient accounts to verify correct insurance billing information, update records as necessary, and resolve any discrepancies in patient account balances
Analyze denied claims to identify denial reasons and perform the necessary follow-up actions including appealing denied claims with appropriate documentation and justification
Analyze accounts receivable reports and take appropriate action to resolve repetitive denials
Coordinate with healthcare providers to obtain necessary medical documentation, referrals, or authorizations required for claim processing and reimbursement
Discusses areas needing improvement with the authorization and CMN departments as needed and offers solutions
Engage directly with patients to explain their bills, resolve billing inquiries, and set up payment plans for outstanding balances, ensuring a positive customer service experience
Engage in written communication and schedule meetings with payers to address aging balances
Compiles and submits projects to insurance companies
Meet with Revenue Cycle Supervisor and Director to discuss areas of concern
Answers questions and provides solutions to RCM team
Supports auditors responsible for the production/quality of global team members
Qualification
Required
Minimum one year of customer service experience
High school diploma or equivalent required
Effective verbal and written skills
Knowledge in all major insurance carrier reimbursement guidelines and eligibility coverage (Medicare, Medi-Cal, Commercial Health Plans)
Able to work in a fast-paced environment, flexible and ability to adapt to changing environment
Strong interpersonal, communication, time management, and organizational skills required
Self-Starter with the ability to work independently
Working knowledge of MS Office
Company
Stance Health Solutions, uniting SG Homecare and Western Drug
Stance Health Solutions is a patient-centric healthcare company that enables our customers to live comfortably at home by providing reliable services and innovative solutions for every stage and every age.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase