Revenue Cycle Coordinator

North Mississippi Health Services; Tupelo (MS); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

403B Retirement Plan with Employer Match Contributions

Continuing Education

Employee Assistance Program

Medical Benefits

Dental Benefits

Vision Benefits

Relocation Assistance

Tuition Assistance

Job summary

North Mississippi Health Services seeks a Revenue Cycle Coordinator in Tupelo, Mississippi. The coordinator will facilitate efficient revenue cycle flow, handle billing and denial management, and ensure compliance. Candidates should possess a High School Diploma or GED along with 1-3 years of relevant experience. Skills in analysis, organization, and communication are essential. Benefits include educational support, medical coverage, and a 403B retirement plan with matching contributions. A hybrid or on-site working arrangement may be available.

Qualifications

• 1-3 years of relevant work experience.
• Ability to communicate payer trends effectively.
• Excellent problem-solving skills.

Responsibilities

• Process billing and follow up with third party payers.
• Manage denial receivables and appeal accounts.
• Develop strategies for contract compliance and trends analysis.

Skills

Research and analysis

Analytical skills

Organizational skills

Communication skills

Interpersonal skills

Microsoft Office proficiency

Negotiation skills

Education

High School Diploma or GED Equivalent

Tools

Microsoft Office

Outlook

Third Party Payer websites

Job description

Job Summary

The Revenue Cycle Coordinator at North Mississippi Health Services is responsible for supporting timely and effective Revenue Cycle flow to facilitate payment capture through bill processing and denial and contract management. This position engages strong technical knowledge, as well as organizational and communication skills to manage follow up and coordination with payers, vendors, and staff members to resolve claim issues, facilitate contractual compliance, generate reporting, analyze opportunities for improvement, and implement solutions to realize more effective flow and support of payment capture.

Job Functions

Billing & Follow Up

• Processes Billing by receiving, interpreting, processing, and submitting through various edits to third party payors billing electronically and hard copy format.
• Completes Billing follow up by contacting third party payers or accessing payer websites/provider portals to determine payment expectation and resolve any problem on the claim.
• Facilitates information communications and processing by interpreting and processing third party payor and patient inquiries in an accurate and timely manner to expedite payment.

Denial Management

• Manages denial receivable to resolve accounts.
• Develops strategy for appeal, appeal follow-up and/or reprocessing accounts.
• Analyzes denials to determine reason they occurred.
• Identifies trends and reports significant and recurring issues along with possible solutions to Denials Management Supervisor and Billing Manager.
• Takes corrective action through systematic and procedural development to reduce or eliminate payment issues.

Contract Management

• Possesses familiarity with payer methodologies and the ability to communicate with NMHS staff.
• Manages paid claims to resolve underpaid accounts.
• Develops strategy for appeal, appeal follow-up and/or reprocessing accounts.
• Analyzes underpayments to determine reason they occurred.
• Identifies trends and reports significant and recurring issues along with possible solutions to the Denials and Underpayment manager.

Communication

• Professionally and effectively communicates with third party carriers, vendors, and hospital contacts to promote contractual compliance.

Liaison

• Contacts insurance companies regarding denial, underpayments or rejection issues.
• Serves as liaison between payers and hospital departments/physician offices or patients in resolving denials and/or underpayment issues.

Reporting

• Assists in preparation of monthly denial reports and other denial reports as requested.
• Assists in preparation of monthly variance reports and other variance reports as requested.

Regulation

• Adheres to NMHS/NMMC Policies/Procedures/Guidelines.
• Complies with applicable Local/State/Federal policies/procedures/guideline/regulations/laws/statues.

Qualifications

Education

• High School Diploma or GED Equivalent or equivalent. Required

Work Experience

• 1-3 years

Knowledge Skills and Abilities

• Ability to research, analyze and communicate payer trends to identify reimbursement and training issues; required
• Excellent analytical and problem-solving skills
• Good organizational and communication (written and verbal) skills
• Excellent interpersonal skills
• Computer skills with strong Microsoft Office, Outlook, Third Party Payer websites; preferred
• Must professionally and effectively communicate with third party carriers, vendors, and hospital contacts to promote contractual compliance and recommend corrective and preventative actions
• Must provide input and help design payer report cards in conjunction with contracting, managed care, and other revenue cycle departments
• Must participate as member of the Denials Committee
• Must conduct training sessions with Billing and Follow-up staff as needed
• Must have effective negotiating skills including the ability to resolve difficult claims issues
• Must be able to gather and share information with knowledge, tact, and diplomacy
• Must have extensive contact with: patients, payers, physician office staff, coding staff, Credentialing, Case Management, various Department heads, and all staff within the department

Physical Demands

• Standing - Constantly
• Walking - Frequently
• Sitting - Rarely
• Lifting/Carrying - Frequently 50 lbs
• Pushing/Pulling - Frequently
• Climbing - Occasionally
• Balancing - Occasionally
• Stooping/Kneeling/Bending - FrequentlyReaching/Over Head Work - Frequently
• Grasping - Frequently
• Speaking - Occasionally
• Hearing - Constantly
• Repetitive Motions - Constantly
• Eye/Hand/Foot Coordinations - Frequently

Benefits

• Continuing Education
• 403B Retirement Plan with Employer Match Contributions
• Pet, Identity Theft and Legal Services Insurance
• Wellness Programs and Incentives
• Referral Bonuses
• Employee Assistance Program
• Medical Benefits
• Dental Benefits
• Vision Benefits
• License + Certification Reimbursement
• Life, Long-Term and Short-Term Disability, Group Accident, Critical Illness and Hospital Indemnity Insurance
• Employee Discount Program

Other Benefits

• Early Access to Earned Wages
• Tuition Assistance
• Relocation Assistance
• Paid Time Away
• Special Employee Rates at NMMC Wellness Centers