Senior Coordinator, Revenue Cycle

This is a fully remote position, open to applicants in Rhode Island.

📋 Description

• Overseeing a substantial volume of denied medical claims.

• Serving as the representative for the Accounts Receivable department to both internal and external teams.

• Analyzing and quantifying trends and issues, while formulating potential solutions.

• Prioritizing and managing pending refund requests and overpayments effectively.

• Identifying and implementing process improvements across the department.

• Detecting coding deficiencies and taking appropriate actions accordingly.

• Recognizing key stakeholders or primary contacts within payer communities.

⛳️ Requirements

• At least 2 years of experience in Medical Billing or health plan claims adjudication.

• Comprehensive understanding of the complexities involved in medical billing.

• Familiarity with CPT, ICD-9/10, and CMS 1500 claim formatting.

• Experience with Electronic Data Interchange (EDI) transmission.

• Knowledge of national HIPAA, PHI, and regulatory standards.

• Preferred: 3-5 years of Medical Billing experience or health plan claims adjudication experience.

• Technical Certification in Medical Billing.

• Proficiency in Microsoft Office, particularly in Excel, Outlook, and Word.

• Strong time management abilities.

• Capability to handle multiple tasks simultaneously.

• Experience with Athena Practice Management.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Comprehensive benefits package.