Revenue Assurance Coordinator

RadNet, Inc.; Georgia; Hybrid; USD 25,000 - 32,000; Full time

Benefits offered by this job

Comprehensive medical, dental and VISN

Health Savings Accounts with employer"

401(k) Employer Match

Free imaging services for employee and

Wellness dollars

Job summary

RadNet, Inc. is seeking a Revenue Assurance Coordinator to analyze revenue variance data across RadNet centers, determine root causes, and support the appellate process for potential revenue recovery.

You will collaborate with Reimbursement Operations and contracting to implement payor-initiated changes, maintain RAM variance tables, and prepare monthly dashboard reports. Opportunities exist for cross-training and advancement.

Qualifications

• Requires strong Excel and Word skills.
• Fluency in English with excellent written and oral communication.
• Analytical, problem-solving and numerical acumen.
• Understanding of insurance reimbursement and revenue cycle processes is preferred.

Responsibilities

• Receive and analyze Revenue Variance Reports for RadNet centers to identify variances needing research.
• Research variances across Erad, Billing systems, NPD and other sources to assess revenue recovery.
• Notify appropriate parties to initiate appellate processes for potential revenue recovery and provide data for re-bill or appeal.
• Maintain dialogue with Reimbursement Operations and contracting regarding open appeals.
• Coordinate with leadership to implement payor-initiated modifications and fee schedule updates.
• Prepare RAM Variance Tables within the NPD and generate monthly RAM dashboards.
• Assist in implementing procedures and best practices; perform ad hoc reports as needed.
• Attend meetings, seminars, and training as required.

Skills

Excel

Analytical skills

Communication skills

Attention to detail

Education

High school diploma

Tools

RAM (Revenue Assurance Module)

Job description

Responsibilities

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a Revenue Assurance Coordinator, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.

You Will:

• Receive & analyze Revenue Variance Reports for West Coast Radnet centers. The Revenue assurance coordinator (RAC) will be responsible for performing an analysis of the data received in reports in order to isolate variances that are in need of further research. This analysis will result in the investigation of the reason for the variance, including identification of front end, back end, and NPD (National payor database) discrepancies
• Perform the necessary research on variances within Erad, Billing systems, NPD and other data sources to determine the viability of revenue recovery.
• For accounts with potential revenue recovery, notify the appropriate parties to initiate the appellate process of these charges. Provide the teams with information needed to accomplish the re-bill or appeal.
• Maintain open dialogue with Reimbursement Operations (RO) personnel and contracting regarding status of open appeals.
• Maintain open dialogue and coordinate with leadership & contracting to ensure that payor-initiated modifications; including (but not limited to) fee schedule updates, coding changes, billing issues, and Timely Filing Limit changes are implemented and that payor-related issues are resolved.
• Prepare and maintain Revenue Assurance Module (“RAM’) Variance Tables within the NPD for their assigned respective RadNet practices.
• Prepare a monthly Dashboard Report of RAM status and results.
• Assist in the implementation and roll out of procedures and best practices
• Perform duties as assigned by Leadership. These duties may include administrative functions and providing ad hoc information/reports from the RAM of the NPD.
• Attend and participate in meetings, seminars, and training as required.
• This is not an exhaustive list of all duties, responsibilities and requirements of the position described above.

You Are:

• Passionate about patient care and exercise sound judgement and an ability to remain professional in all situations.
• You demonstrate effective and professional communication, interpersonal skills and respect with patients, guests & colleagues.
• You have a structured work-approach, understand complex problems and you are able to prioritize work in a fast-paced environment. Demonstrates a high level of competency and ensures team members are safeguarding patient property and Patient Health Information.

To Ensure Success in This Role, You Must Have:

• High school diploma required, secondary education is desired
• Must have at least 3 years of internal or external experience in the health care insurance and/or insurance reimbursement field
• Excellent computer skills, especially a strong knowledge of Microsoft Excel and Word
• Knowledge and understanding of payors, contracting, insurance types/classes, CPT codes and fee schedules
• Understands the proprietary nature of fee schedules and associated contracts and will not release any of this proprietary information without prior written consent.
• Understanding of revenue cycle process flow is desired but not required
• Superior analytical, written and oral communication skills; Fluency (written and oral) in English required
• Ability to work well in group and individual settings
• Ability to foresee potential problems and offer solutions
• Ability to handle moderately complex assignments under minimal supervision is essential

We Offer:

• Comprehensive Medical, Dental and Vision coverages.
• Health Savings Accounts with employer funding.
• Wellness dollars
• 401(k) Employer Match
• Free services at any of our imaging centers for you and your immediate family.

Pay Range: $18.00 - $23.00 per hour