Revenue Cycle Coordinator

DAP HealthPalm Springs, CA
Remote

About The Position

At DAP Health, we are committed to transforming lives and advancing health equity for all. As a leading nonprofit health care provider, we deliver compassionate, high-quality care to the diverse communities of the Coachella Valley and San Diego County. Our comprehensive services range from primary care to mental health, wellness programs, and beyond, with a focus on those who are most vulnerable. Joining our team means becoming part of a passionate, innovative organization dedicated to making a meaningful impact in the lives of those we serve. If you're looking for a dynamic and purpose-driven environment, we invite you to explore the opportunity to contribute to our mission. The Revenue Cycle Coordinator supports the end-to-end revenue cycle by ensuring accurate, timely, and compliant processing of patient accounts, claims and billing activities. This role serves as a key liaison between internal departments, patients, and outsources billing partners, while actively managing work queues, resolving account issues, and supporting front-end and back–end revenue functions. The coordinator is expected to independently resolve routine issues and escalate complex or non-standard concerns as appropriate.

Requirements

  • Excellent oral and written communication skills
  • Effective interpersonal skills
  • Ability to: Professionally handle calls from patients, families, or third-party representatives
  • Interface with all levels of personnel in a professional manner
  • Work with people of all social and ethnic backgrounds
  • Handle multiple projects, prioritize, and meet deadlines
  • Detail oriented with the ability to work with minimal to no supervision
  • Work independently and as a team and take initiative
  • Minimum one (1) year of experience in medical billing or revenue cycle
  • Knowledge of medical billing and insurance process
  • Strong problem-solving and analytical skills
  • Ability to manage high volume work queues
  • Effective communication and customer service skills, including the ability to explain billing information clearly to patients and staff

Nice To Haves

  • Bilingual (English/Spanish) preferred
  • Experience with Epic or similar EHR systems preferred
  • Managed care and collections management experience preferred
  • Knowledge HIPAA, Corporate Compliance and Health Regulations preferred

Responsibilities

  • Managed and prioritize assigned Epic work queues
  • Support the revenue cycle process as an additional liaison between revenue cycle team and outsourced billing team
  • Research billing and collections information to third party intermediaries for services rendered or for fees or other related charges
  • Perform reviews to determine and prioritize claims submission, rejection, and denials issues as seen through claims transactions/results from payers
  • Review patient accounts and coverage/insurance as needed for completeness and accuracy required by county programs, government payers, and private insurance carriers for billing, filing, and payment on medical and dental claims
  • Respond to requests for review status of account, account information accuracy, patient liability, arithmetical billing errors and general billing inquiries from the revenue cycle team or outsourced billing team
  • Monitor and submit explanation of benefits and payment information needed for payment posting to outsourced billing team
  • Follow up on payment with insurance payers and patients on outstanding accounts as needed
  • Perform accurate and timely review of patient accounts in accordance with policies and procedures and in compliance with federal, state, insurance carriers, health plans, and other third-party payor requirements, as assigned
  • Answer and managed incoming inquiries via the billing phone line
  • Respond to billing inquiries through Epics patient messaging/MyChart messaging
  • Serve as a resource for front desk and back office regarding billing related questions
  • Managed and respond to request submitted through the billing helpdesk
  • Ensure all data and research is secure and protected, maintaining HIPAA compliance
  • Perform other duties as assigned
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service