Revenue Cycle Coordinator

AccessCNY•Syracuse, NY

4h•$28 - $32•Onsite

About The Position

We are looking for a proactive employee to be responsible for coordinating and overseeing the Agency’s end-to-end revenue cycle operations.

Requirements

Associate degree in Accounting, Finance, Business Administration, Health Administration or Medical Billing, required.
Minimum of five years’ Medicaid and healthcare billing experience, required.
Proficiency with Microsoft Excel, Word, and basic computer skills, required.
Advanced experience with Medicaid regulations, Managed Care billing, and electronic billing systems, required.
Prior experience providing work direction, lead responsibilities, or supervision, required.
Must have a valid NYS Driver License in accordance with the Agency Vehicle and Driving policy and reliable transportation necessary to meet program needs.
Must respect confidentiality.

Nice To Haves

Bachelor’s degree in the aforementioned, highly preferred.

Responsibilities

Coordinate and oversee daily and monthly revenue cycle activities across all billing areas
Monitor claim flow from submission through payment and resolution
Identify trends, risks, and operational issues, impacting reimbursement or cash flow
Recommend process improvements and workflow enhancements to Finance leadership
Oversee Medicaid Fee for Service, Managed Care, and other payer billing processes
Ensure timely follow up on denials, rejections, underpayments, and recoupments
Coordinate corrections, appeals, and resubmissions
Review external billing or clinic reports for accuracy and completeness
Prepare and distribute monthly billing totals, revenue summaries, and variance analyses
Support month end and year end close activities related to revenue
Prepare and maintain rate documentation and support rate updates or adjustments
Maintain billing system configurations, payer rules, and fee schedules
Ensure billing records meet Medicaid retention, compliance, and audit standards
Ensure revenue cycle activities comply with Medicaid, OPWDD, OMH, Managed Care, and other applicable requirements
Assist with internal, external, and governmental audits by coordinating documentation/responses
Conduct or oversee internal quality checks and self-reviews to ensure audit readiness
Ensure billing practices comply with federal, state, and program specific Medicaid regulations, i.e. OPWDD, OMH, HCBS, Managed Care
Maintain current knowledge of Medicaid policy changes and apply updates to billing practices
Coordinate with Compliance department on possible OMIG disclosures and provide necessary documentation/responses
Provide day-to-day supervision, guidance, and work direction, to Billing Specialists and other assigned revenue cycle staff
Review staff work for accuracy, completeness, and compliance with payer and regulatory requirements
Participate in performance management activities, including feedback, coaching, and performance evaluations, in coordination with Finance leadership
Conduct self in a professional manner
Observe confidentiality and safeguards regarding all participant related information
Follow Agency standards and procedures
Ensure compliance with federal, state, and local employment laws and regulations, as well as with company policies
Perform Other Duties as Assigned