Revenue Assurance Coordinator

RadNet • UNAVAILABLE, OH

4d

About The Position

The Revenue Assurance Coordinator analyzes Revenue Variance Reports for West Coast RadNet centers, investigates discrepancies across front-end, back-end, and National Payor Database (NPD) data, and assesses the potential for revenue recovery. The coordinator researches variances in eRad, billing systems, NPD, and other data sources; helps initiate appeals or rebilling for eligible accounts; and works with Reimbursement Operations, contracting, and leadership to resolve payor-related issues and implement payor changes. The role also maintains Revenue Assurance Module (RAM) variance tables, prepares monthly dashboard reports, supports procedures and best practices, and performs other assigned duties. The position requires sound judgment, professional communication, strong analytical ability, and the ability to prioritize work in a fast-paced environment while safeguarding patient property and health information.

Requirements

• High school diploma required.
• At least 3 years of internal or external experience in healthcare insurance and/or insurance reimbursement.
• Excellent computer skills, especially strong knowledge of Microsoft Excel and Word.
• Knowledge and understanding of payors, contracting, insurance types/classes, CPT codes, and fee schedules.
• Understand the proprietary nature of fee schedules and associated contracts and do not release this information without prior written consent.
• Superior analytical, written, and oral communication skills; fluency in written and spoken English required.
• Ability to work effectively in group and individual settings.
• Ability to foresee potential problems and offer solutions.
• Ability to handle moderately complex assignments under minimal supervision.
• Demonstrate sound judgment, professionalism, effective communication, interpersonal skills, respect, structured work habits, and the ability to prioritize in a fast-paced environment.
• Safeguard patient property and Patient Health Information.

Nice To Haves

• Secondary education is desired.
• Understanding of revenue cycle process flow is desired but not required.

Responsibilities

• Receive and analyze Revenue Variance Reports for West Coast RadNet centers, isolating variances requiring further research.
• Investigate variance causes, including front-end, back-end, and National Payor Database discrepancies.
• Research variances in eRad, billing systems, NPD, and other data sources to determine potential revenue recovery.
• Notify appropriate parties about accounts with potential revenue recovery and provide information needed to rebill or appeal charges.
• Maintain communication with Reimbursement Operations personnel and contracting regarding open appeal status.
• Coordinate with leadership and contracting to ensure payor-initiated changes, such as fee schedule updates, coding changes, billing issues, and timely filing limit changes, are implemented and resolved.
• Prepare and maintain Revenue Assurance Module variance tables in the NPD for assigned RadNet practices.
• Prepare a monthly dashboard report on RAM status and results.
• Assist with implementing and rolling out procedures and best practices.
• Perform duties assigned by leadership, which may include administrative functions and providing ad hoc RAM/NPD information or reports.
• Attend and participate in meetings, seminars, and training as required.

Benefits

• Comprehensive medical, dental, and vision coverage.
• Health Savings Accounts with employer funding.
• Wellness dollars.
• 401(k) employer match.
• Free services at imaging centers for the employee and immediate family.

What This Job Offers

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