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Vanderbilt Health is seeking a Revenue Cycle Billing Coordinator to oversee and improve billing and reimbursement processes across services. The role designs, implements, and trains teams on billing procedures while managing claim processing, denials, and outstanding balances with insurers and patients.
The position emphasizes data-driven analysis to identify trends, audits, and continuous improvement initiatives within the revenue cycle.
Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.
Organization: Payment Posting Job Summary: The Revenue Cycle Billing Coordinator is responsible for evaluating and managing revenue cycle operations to ensure effective and compliant billing and reimbursement processes. This role designs, executes, and implements billing procedures, oversees program development, and supports continuous improvement initiatives that impact a significant segment of the organization.
Assist with designing, planning, and implementing billing procedures and systems to support new and existing services.
Provide training and ongoing guidance to staff involved in billing and revenue cycle functions.
Promote program growth and scalability to support organizational expansion.
Handles claim processing, including payments, adjustments, refunds, denials, and outstanding balances from both patients and insurers.
Acts as a point of contact between insurance providers, third-party payers, and administrative staff.
Evaluates financial data to detect, reconcile, and resolve trends that lead to incorrect or missing reimbursements.
Conducts comprehensive account audits and manages other complex tasks and projects.
Performs additional duties as assigned, in accordance with the general scope of the role.
Revenue Cycle (Intermediate): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.
Problem Solving (Intermediate): Uses critical thinking and process improvement, identifies root causes, creates future state, coaches and mentors, development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.
Communication of Results (Intermediate): Communicates results and recommendations to customers in a concise and non-technical format. Clearly states implications and potential next steps. Presents analysis, ideas, and findings using the appropriate data visualization and presentation tools [such as Word, Excel, Tableau, and PowerPoint].
Quality Assurance (Novice): Understands the goal of increasing organizational productivity and individual performance by making the products and services within your work assignments more efficient and more effective.
Regulatory Compliance (Intermediate): Demonstrates knowledge of the appropriate rules and regulations and apply them in difficult, stressful and complex situations. Able to interpret and explain rules and regulations that are ambiguous or unclear. Directs others in interpreting rules and regulations on the job and trains others in them.
Business Results (Intermediate): Ability to achieve business results while focusing on quality, customer satisfaction, and stewardship.
Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.
Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance.
Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment.
Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area.
Team Interaction: Provides informal guidance and support to team members.