About The Position

As an Operations Support Coordinator within our Revenue Integrity team, you hold a pivotal position in supporting analysts as they work towards ensuring hospitals receive accurate compensation for the services they provide. Your role involves a variety of administrative and facilitation tasks, information gathering, and client support. Strong organizational skills, attention to detail, a service mindset, and the ability to manage competing priorities are essential in this role.

Requirements

  • Basic knowledge of healthcare revenue cycle (underpayments) practices.
  • Experience with healthcare billing software and databases (EPIC, Cerner, Meditech).
  • Ability to navigate multiple systems and applications.
  • Moderate computer proficiency including MS Excel, Word and Outlook.
  • Organizational and prioritization skills to handle multiple projects across numerous client engagements.
  • Effective time-management to ensure tasks are completed within appropriate time frames and intervals.
  • Strong analytical and problem-solving abilities to determine appropriate course of action.
  • Detail-oriented approach to ensure accuracy in applying guidelines and documenting findings for audit and compliance purposes.
  • Effective communication skills to collaborate with internal teams, payers, and external stakeholders.
  • Previous experience working in a remote environment.
  • A quiet, distraction-free environment to work from in your home.
  • A secure internet connection is required.
  • Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads.
  • The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.

Responsibilities

  • Utilize company best practices, along with technology-enabled resources and other internal tools, to identify recoveries requiring operational support or client intervention to advance the claim through the underpayment review process.
  • Create, reconcile, and submit various requests to clients through established processes.
  • Contact insurance companies to obtain missing information.
  • Prepare and attach documentation such as letters, medical records, or itemized bills to support underpayment recovery efforts.
  • Review client systems to determine when work scope requirements are met.
  • Verify payments and adjustments meet compliance requirements and ensure client systems are properly reconciled.
  • Review, reconcile, and submit client specific reports to appointed recipients.
  • Actively participate in discussions, meetings, and brainstorming sessions to identify process improvements through automation and other efficiencies.
  • Demonstrate a commitment to upholding ethical standards and compliance with relevant regulations and guidelines in all reimbursement optimization activities.

Benefits

  • We offer paid training and incentive plans
  • Our medical, dental, vision, and life insurance benefits are available from the first day of employment
  • We enjoy excellent work/life balance
  • Our Employee Resource Groups build community and foster a culture of belonging and inclusion
  • We match 401(k) contributions
  • We offer career growth opportunities
  • We celebrate 12 paid holidays and generous paid time off
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