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Integra Connect · 5 hours ago

Revenue Cycle Coordinator

United States

Full-time

Remote

Senior Level

$50K/yr - $52K/yr

5+ years exp

Integra Connect is a value-based, precision medicine company specializing in Health IT and digital health solutions. The Revenue Cycle Coordinator will provide exceptional service, manage the revenue cycle, and maintain positive client relationships while ensuring service level agreements are met.

AnalyticsHealth CareInformation Technology

Hiring Manager

Cathy Robinson

Responsibilities

Provide support to assigned clients and understand the client’s operating requirements, including overall claims expectations and metrics. Conduct analyses to investigate ongoing or one-time operational issues

Serve as point-of-contact for complaints or complicated accounts. Review and respond to claims escalating by the client’s compliance, operations, or advocate team

Perform daily, weekly, and monthly reviews and analyses using operational metrics and reports to identify areas of improvement. Communicate identified trends and proposed resolutions with leadership

Proactively research and resolve problems, communicate trends, and propose solutions for client and/or operational improvement. Exhibit expert knowledge regarding the products and services offered. Inform clients of new available services or updates to existing ones

Partner with multiple levels of management and departments to maximize the efficiency of the billing process and accuracy of claims adjudication

Complete special projects as assigned, the specifications of a project are satisfied, regular status updates are provided, and quality standards are met

Qualification

Medical billing experienceRevenue cycle managementAnalytical skillsHIPAA knowledgeProblem-solving skillsTechnical knowledgeOrganizational skillsCommunication skills

Required

High School Diploma or GED required

Five (5) years of medical billing experience required with a demonstrated ability to evaluate data, navigate payor adjudication systems, and track record of effectively liquidating accounts receivables balances to cash

Experience leading and/or working with a global team required

Possess strong analytical, organizational, and problem-solving skills; ensures efficiency and quality standards are met

Ability to effectively utilize proprietary accounts receivable billing system and internet tools, (e.g., internet mapping programs, eligibility websites, address search engines). Effective research skills to identify non-conventional methods to penetrate third-party payor organizational structure and identify key decision makers

Technical knowledge of revenue cycle management principles, including working knowledge of cash posting processes, medical record guidelines, coding, and accounts receivable follow-up (e.g. HCPCS, CPT, ICD codes). In-depth knowledge of payor adjudication processes especially regionalized nuances

Knowledge of HIPAA requirements, Sarbanes-Oxley (SOX) requirements, PHI, PCI, and compliance regulations