Revenue Cycle Coordinator

North Mississippi Health Services; United States; On-site; USD 50,000 - 70,000; Full time

Job summary

North Mississippi Health Services is seeking a Revenue Cycle Coordinator to support timely and efficient revenue cycle flow, payment capture, bill processing, and denial/contract management. This role requires strong technical knowledge, organizational skills, and effective communication with payers, vendors, and hospital staff.

You will handle billing follow-up, denial management, contract management, liaison with payers, and reporting to identify trends and opportunities for improvement.

Qualifications

• Strong technical knowledge of revenue cycle processes.
• Excellent organizational and communication skills.
• Experience with payer follow-up, denials management, and contract processing.

Responsibilities

• Billing & Follow Up: Process billing electronically and in hard copy formats.
• Follow up with third party payers and providers to determine payment expectations and resolve issues.
• Denial Management: Manage denials, develop appeals, and monitor trends for improvement.
• Contract Management: Communicate with NMHS staff and analyze underpayments.
• Reporting: Assist in monthly denial and variance reports as requested.
• Regulation: Comply with applicable policies and laws.

Job description

Posting Description

We believe a career is more than just a career — it's a calling. Our teammates' "True North" is what calls them to health care; it’s their passion. At North Mississippi Health Services, we believe in helping you leverage and connect that passion with a much greater purpose that impacts people you know and love.

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.