Payor Performance Coordinator (4432) PATIENT ACCOUNTS CORP OFFIC

Lexington Clinic; Lexington (KY); Hybrid; USD 45,000 - 65,000; Full time

Job summary

Lexington Clinic in Lexington, KY is seeking a Payor Performance Coordinator to support the Central Business Office, leveraging healthcare billing and payer regulations to resolve complex AR issues and improve reimbursement timelines.

This hybrid role requires strong data analysis, workflow optimization, and collaboration with payors, management, and cross-department teams to ensure accurate, timely processing and adherence to revenue cycle best practices.

Qualifications

• Formal training evidenced by high school diploma or equivalent.
• Excellent judgement, communication and planning skills.
• Comprehensive understanding of healthcare revenue cycle operations from registration to payment resolution.
• Knowledge of reimbursement methodologies and medical terminology.

Responsibilities

• Provide advanced project support within the Central Business Office and act as a subject matter expert for complex AR reimbursement issues.
• Analyze data, identify trends impacting reimbursement, and collaborate with payors and management to ensure timely claim resolution.
• Contribute to workflow optimization and quality assurance to improve overall business office performance.

Skills

Healthcare Billing

Data Analysis

Communication Skills

Project Management

Revenue Cycle Knowledge

Reimbursement Methodologies

Workflow Optimization

Third-Party Fee Files

Attention to Detail

Education

High School Diploma or equivalent

Tools

Excel

Job description

Payor Performance Coordinator (4432) PATIENT ACCOUNTS CORP OFFIC

FT Hourly 30 to 40 hrs LC Corporate Office, Lexington, KY, US

SUMMARY:

The Payor Performance Coordinator provides advanced project support within the Central Business Office by leveraging extensive knowledge of healthcare billing, claims processing, payer regulations, fee schedules, expected payment reporting, and revenue cycle operations. This role serves as a subject matter expert for complex AR reimbursement issues, analyzes data, identifies trends impacting reimbursement, collaborates with payors, management, and across departments to ensure timely and accurate claim resolution. The position also provides workflow optimization, and quality assurance to enhance overall business office performance. This is a hybrid position requiring occasional in-offense presence.

PREFERRED QUALIFICATIONS:

Formal training which will probably be indicated by a high school diploma or equivalent; excellent judgement skills; excellent communication and interpersonal skills; planning and organization skills; comprehensive understanding of healthcare revenue cycle operations from registration through payment resolution; knowledge of reimbursement methodologies, medical terminology and procedure codes; workflow and project management skills; ability to sort and manipulate spreadsheet data; analyze and interpret data to identify trends. Preferred candidates would have three years in medical billing and claims resolution, with specific responsibilities in project management and experience with third party fee files.

PHYSICAL GUIDELINES:

Physical guidelines include ability to move, traverse, position self, remain in a stationary position and negotiate steps for up to eight hours per day; visual and auditory acuity; manual dexterity and motor coordination; mobility.

NOTE:

This document is intended to describe the general nature and level of work performed. It is not intended to act as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Attendance is an essential function of the job.

LEXINGTON CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE)