Revenue Cycle Coordinator III
Core
Provide oversight and resolution for member eligibility and billing complaints, ensuring compliance with regulatory requirements and managing accounts receivable activity.
Role type
Senior IC revenue cycle operations coordinator
Builds
Compliance with regulatory timeframes and defined requirements for consumer complaint cases
Domain
Healthcare / Managed care / Billing & Accounts Receivable
Deliverable
client delivery
Required skills
Accounts receivable reporting, regulatory compliance (HIPAA/State), root cause analysis, training development, SLA management, data analysis
Preferred skills
Managed care experience, enrollment experience, finance experience
Technologies
Microsoft Office Suite (Word, Excel, PowerPoint)
Responsibilities
Research and resolve member eligibility and billing complaints, ensure timely and accurate recording of accounts receivable activity, serve as SME for eligibility and billing processes, identify irregular trends and work with other areas to resolve root causes, develop and teach others using standard operating procedures, participate in readiness reviews and desk audits with State and Federal partners
Seniority
Senior, hands-on IC