Revenue Cycle Coordinator - Asian Health Services
Oakland, CA 94601
About the Job
Under the supervision of the Revenue Cycle Managers (RCM),the Revenue Cycle Coordinator (RCC) is responsible for performing complicated billing of services and claims denial response for multiple payor sources for the Medical, Dental and Behavioral Health Divisions. The RCC ensures all services provided by the clinic are properly billed and paid. Under the guidance of the RCM and in partnership with the Sr. Revenue Cycle Coordinator, the RCC participate in analyzing and resolving department-wide problems, such as operational workflow issues, or EHR EPM system-related issues.
Essential Job Functions
- ResponsibleforMedicareadvantagewrap519billingandBehaviorHealthservicebillingto Blue cross and Beacon Managed care.
- Manages billings to law offices for workers comp and vehicle injury services.
- Provides specialized billings for Dental services, transferring data from Dentrix EPM systems into OCHIN/EPIC, resolve issues related to denials.
- Works in close partnership with the Sr. Revenue Cycle Coordinator to identify and resolve billing issues and denials.
- Performs complicated postings of payments for services into OCHIN/EPIC
- Monitors and tracks patients' accounts receivable aging reports. Makes necessary adjustments for outstanding balances to resubmit claims, and/or recommend write-off to RCM.
- Sends out monthly patient statements.
- Review and complete the monthly patient account receivable adjustments.
- Monitoring patientaging balance and set up patients withCOLLECTION status as determined by current policy and guidelines.
- Communicates issues with the electronic billing and payment posting system to Supervisor, Manager, and or IT/IS department.
- Keeps updated on new information related to Medi-Cal/Medicare, Managed Care, another third- party billing.
- Coordinating with there to the Billing staff who are running the BBP reports.
- Assisting the RCM with other duties when appropriate and as requested.
General Agency/AHS Duties
- Fosters an environment that promotes trust and cooperation among clients and staff.
- Enforces clinic policies and procedures, including maintenance of client confidentiality under HIPAA privacy rules, to ensure that the principles of AHS are implemented.
- Plays an active role in planning organization-wide activities such as AHS general membership meetings, fundraisers, special clinic days, and other events.
- Participates in general membership meetings, fundraisers, and other public events, as required.
- Participates in outreach activities, agency advocacy, and serves on ad hoc committees, as requested.
- Attends AHS staff retreats and Board of Directors meetings, as required.
- Participates in agency-wide quality improvement program processes and performance improvement teams to ensure excellence in the quality of services provided across the agency.
Minimum Qualifications
- Associates degree from an accredited college or university
- 2 years of medical billing experience or any equivalent combination of education and experience
- Experience resolving billing issues with insurance companies
- Experience using EPM/EHR software
Preferred Qualifications
- Experience with OCHIN/EPID EPM/EHR software
- Experience with FQHC/Managed care billing
- General knowledge of accounting principles
- Ability to report data using any query language or report generator
- Experience with OCHIN/EPID EPM/EHR software
- Experience with FQHC/Managed care billing
- General knowledge of accounting principles
Knowledge, Skills & Abilities
- Proficiency with Microsoft Office applications, with intermediate to advanced level competency in Excel and PowerPoint.
- Ability to work collaboratively with other AHS supervisors and managers with a focus on customer service and quality of care, exemplifying the core values and mission of the organization, always exercising utmost discretion, diplomacy and tact inpatient/staff interactions.
- Knowledge of Medi-Cal, Medicare, and private insurance regulations and billing practices
- Knowledge of laws and regulations governing collection procedures
- Ability to read, interpret, and explain laws and regulations related to billing and collections.
- Ability to gather, assemble, analyze, and evaluate facts, draw logical conclusions, and make appropriate recommendations.
- Ability to effectively communicate with the patient population and staff while demonstrating a high degree of diplomacy and tact.
- Basic working knowledge of medical terminology.
- Ability to exercise initiative, judgment, discretion, and decision-making to achieve organizational objectives Effective supervisory skills to oversee direct reports and delegate responsibility and authority to staff
- Demonstrated attention to detail and well-organized.
- Ability to multi-task, prioritize, and meet deadlines.
- Strong written and verbal communication skills.
- Advanced financial accounting analysis and reporting skills.
- Knowledge of budgeting and preparing financial reports.
- Proficiency with Microsoft Office applications.
PI248170947
Source : Asian Health Services
