Payor Performance Coordinator (4432) PATIENT ACCOUNTS CORP OFFIC

Lexington Clinic • Lexington, KY

80d • Hybrid

About The Position

The Payor Performance Coordinator provides advanced project support within the Central Business Office by leveraging extensive knowledge of healthcare billing, claims processing, payer regulations, fee schedules, expected payment reporting, and revenue cycle operations. This role serves as a subject matter expert for complex AR reimbursement issues, analyzes data, identifies trends impacting reimbursement, collaborates with payors, management, and across departments to ensure timely and accurate claim resolution. The position also provides workflow optimization, and quality assurance to enhance overall business office performance. This is a hybrid position requiring occasional in-offense presence.

Requirements

• Formal training which will probably be indicated by a high school diploma or equivalent.
• Excellent judgement skills.
• Excellent communication and interpersonal skills.
• Planning and organization skills.
• Comprehensive understanding of healthcare revenue cycle operations from registration through payment resolution.
• Knowledge of reimbursement methodologies, medical terminology and procedure codes.
• Workflow and project management skills.
• Ability to sort and manipulate spreadsheet data.
• Ability to analyze and interpret data to identify trends.
• Ability to move, traverse, position self, remain in a stationary position and negotiate steps for up to eight hours per day.
• Visual and auditory acuity.
• Manual dexterity and motor coordination.
• Mobility.

Nice To Haves

• Three years in medical billing and claims resolution, with specific responsibilities in project management.
• Experience with third party fee files.

Responsibilities

• Serves as a subject matter expert for complex AR reimbursement issues.
• Analyzes data, identifies trends impacting reimbursement.
• Collaborates with payors, management, and across departments to ensure timely and accurate claim resolution.
• Provides workflow optimization and quality assurance to enhance overall business office performance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED