Revenue Cycle Coordinator I

📋 Description

• • As a Revenue Cycle Coordinator I at Modivcare Inc., you will play a pivotal role in ensuring the financial health of our organization by meticulously managing the revenue cycle. This remote position is designed for individuals passionate about making a tangible difference in people's lives through efficient and accurate payment processing within a service-oriented industry.
• • Your primary responsibility will be to oversee and manage accounts receivable, diligently working to ensure the timely collection of payments for services rendered. This involves a proactive approach to reviewing and analyzing outstanding accounts, identifying any delinquent or unpaid invoices, and implementing appropriate strategies to resolve these outstanding balances promptly.
• • You will leverage electronic billing systems and specialized software to maintain a precise record of payment information, ensuring the accuracy of billing records and generating essential reports for management review. This role requires a keen eye for detail and a commitment to data integrity.
• • Collaboration is key in this position. You will work closely with the broader billing team to guarantee that claim submissions are both accurate and complete, proactively resolving any billing discrepancies or errors that may arise. This teamwork ensures a smooth and efficient billing process.
• • A significant aspect of your role will involve verifying insurance coverage for our clients. This includes confirming eligibility, understanding benefit details, and identifying any pre-authorization requirements to facilitate seamless service delivery and billing.
• • You will be responsible for maintaining up-to-date and accurate records of all insurance information, ensuring that our data is always current and comprehensive. This meticulous record-keeping is crucial for preventing billing issues.
• • You will provide essential support to the Revenue Cycle Management team, contributing to all efforts related to revenue cycle operations, including billing, collections, and Electronic Visit Verification (EVV) processes.
• • Adaptability is vital, as you will be expected to adjust to changes in work responsibilities, priorities, and focus as the business evolves. This includes monitoring rejections from various portals to ensure that billing reprocessing is identified and addressed in a timely manner, including necessary EVV adjustments.
• • You will act as a critical liaison between the internal billing team, Central Operations, and authorization departments. Your role will be to help correct errors and verify service details, ensuring that all services are accurately represented for billing purposes.
• • This position involves providing crucial system updates, conducting weekly audits, and offering data entry support to rectify errors. The goal is to ensure that all completed visits are eligible for billing, thereby maximizing revenue capture.
• • You will monitor accounts receivable specifically related to service authorizations, ensuring that payments are received in accordance with approved services.
• • A key part of your role will be troubleshooting any problems, concerns, or difficulties encountered with the billing systems and promptly communicating these issues to your Supervisor or Manager for resolution.
• • You will strictly adhere to Sarbanes-Oxley (SOX) compliance within all systems, following outlined procedures to maintain regulatory adherence.
• • Vigilance in watching for potential fraud is expected, contributing to efforts to reduce incorrect billing and protect the company's financial integrity.
• • You will perform audits and validate all billing functions to ensure accuracy and compliance.
• • This role requires you to update and cross-check all billing procedure codes within the system, ensuring consistency and correctness.
• • You will be expected to maintain and grow your skillset in the various tools utilized for billing, demonstrating a commitment to continuous learning and professional development.
• • You will provide subject matter expertise in all systems used within the Revenue Cycle, assisting colleagues with learning and contributing to process improvement initiatives.
• • Responding to billing inquiries from clients, insurance companies, and other relevant parties is a core function. You will address concerns, provide clear explanations, and resolve disputes efficiently and professionally.
• • You will investigate and resolve billing discrepancies or claim denials, working collaboratively with payers and the billing team to facilitate appropriate reimbursement.
• • Preparing regular reports on accounts receivable status, aging analysis, and collection efforts will be part of your responsibilities, presenting these findings to the management team.
• • Maintaining organized and accurate documentation of all collection activities, including communication logs, payment arrangements, and correspondence, is essential for record-keeping and audit purposes.
• • Staying informed about relevant insurance regulations, billing guidelines, and industry changes is crucial to ensure compliance with all applicable laws and regulations.
• • You will adhere strictly to privacy and confidentiality policies when handling sensitive financial and personal information, upholding Modivcare's commitment to data security.
• • Establishing and maintaining positive and professional relationships with clients, insurance companies, and other stakeholders involved in the payment process will contribute to a smooth revenue cycle.
• • Communicating with clients regarding their financial responsibilities, available payment options, and any outstanding balances will be a regular part of your duties.
• • You will also participate in other projects or duties as assigned, demonstrating flexibility and a willingness to contribute to the team's overall success.