Revenue Cycle Operations Coordinator jobs in United States
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CRH Anesthesia · 3 days ago

Revenue Cycle Operations Coordinator

CRH Anesthesia is seeking a Revenue Cycle Operations Coordinator to support day-to-day revenue cycle activities. The role involves maintaining accurate payer data, coordinating provider enrollment, and ensuring compliance with revenue cycle processes.

Health CareHospital

Responsibilities

Independently coordinate ongoing provider and group enrollment maintenance, including CAQH updates, attestations, and payer demographic changes
Maintain and monitor payer portals, ensuring accuracy of provider, banking, and participation data across payers
Review, triage, and process payer correspondence and mail, identifying action items and coordinating follow-up with internal stakeholders
Support and respond to Medicaid and commercial payer audits, including documentation preparation, variance identification, and issue resolution
Perform provider group audits (e.g., Verity), analyzing payer alignment and initiating corrective actions as needed
Conduct EFT and virtual credit card (VCC) payment audits, identifying discrepancies, recommending resolutions, and escalating issues when appropriate
Coordinate maintenance of contracted payer rates within the corporate master rate file
Validate rate accuracy against executed agreements and escalate discrepancies for review
Support payer strategy initiatives by maintaining clean, reliable rate and participation data
Oversee chart flow tracking within Arietis, identifying bottlenecks and coordinating resolution to support timely billing
Coordinate provider schedule and reconciliation activities related to GCA and records management
Manage secure file transfers via FTP, ensuring compliance with HIPAA and company data security standards
Maintain and update operations master files, exercising judgment to ensure data integrity across revenue cycle workflows
Perform records reconciliation, evaluating completeness and resolving discrepancies
Coordinate scanning and indexing of medical records received in the ATL office to ensure timely system availability
Monitor and independently respond to inquiries received via service@crhanesthesia.com, determining appropriate resolution paths

Qualification

Revenue Cycle OperationsProvider EnrollmentPayer MaintenanceHealthcare Data ManagementCAQHEFT/VCC PaymentsAnalytical SkillsCustomer Service SkillsMicrosoft OfficeVerityStreamOrganizational SkillsProblem-Solving Skills

Required

High School Diploma with Associate's or Bachelor's degree preferred; equivalent healthcare revenue cycle experience considered
Two years plus (2+) years of experience in revenue cycle operations, provider enrollment, payer maintenance, or medical records coordination required in a healthcare setting
Working knowledge of CAQH, payer portals, EFT/VCC payments, and healthcare data management systems
Strong analytical, organizational, and problem-solving skills
Highly organized, detail-oriented, and self-driven, able to manage multiple workflows independently, meet strict deadlines, and perform well in a fast-paced, high-volume healthcare environment
Effective written and verbal communicator with excellent customer service skills
Capable of engaging internal teams, providers, payers, and external partners while maintaining a high level of confidentiality
Maintains accurate physician and practitioner credentialing and payer enrollment records across multiple states
Builds productive relationships with payer representatives, providers, and billing and contracting partners to support timely enrollment, issue resolution, and protect revenue integrity
Previous experience with provider credentialing/enrollment software (i.e. VerityStream) necessary
Expertise in Microsoft Office (Excel and Word)
Proficiency with standard business software (Microsoft Windows, and PowerPoint) and using a laptop and mobile device is required

Preferred

Associate's or Bachelor's degree preferred

Benefits

401(k) matching
Dental insurance
Employee assistance program
Health insurance
Health savings account
Life insurance
Paid time off
Vision insurance

Company

CRH Anesthesia

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CRH Anesthesia is helping address anesthesia service needs at GI ambulatory surgical centers nationwide.

Funding

Current Stage
Growth Stage

Leadership Team

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Doug Jones
Vice President Strategic Partnerships
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Company data provided by crunchbase