Revenue Cycle Coordinator

Ketchikan Indian Community•Ketchikan, AK

17h•$27 - $41•Onsite

About The Position

The Revenue Cycle Coordinator is responsible for maintaining accurate, complete, and synchronized provider, payer, facility, enrollment, and billing information across KIC’s revenue cycle, practice management, clinical, payer, and enrollment systems. The role supports claims processing, reimbursement, revenue integrity, and revenue cycle operations by validating information, coordinating updates across interconnected systems, and investigating and resolving system, enrollment, and data integrity issues that affect billing readiness, claims, reimbursement, and revenue recovery. The Coordinator works with Revenue Cycle leadership, Patient Access, clinical departments, Human Resources, Finance, providers, external payers, and other stakeholders. The position requires exceptional attention to detail, organization and tracking skills, sound judgment, discretion with confidential information, and the ability to independently manage complex work across systems and stakeholders. The role is located at 306 Main St, Ketchikan, Alaska, with a Monday–Friday, 8:00 a.m.–5:00 p.m. schedule. Travel is negligible. The work environment typically has an average noise level. Physical demands include regular hand use, reaching, and talking or hearing; frequent standing and/or sitting; occasional walking, climbing, or balancing; frequent lifting or moving of up to 10 pounds and occasional lifting or moving of up to 25 pounds. Close vision, peripheral vision, and depth perception are required. Reasonable accommodations may be made for individuals with disabilities. Employees are expected to respect and respond to KIC Tribal Members’ health beliefs, practices, and cultural and linguistic needs; uphold KIC workplace and Southeast Traditional Tribal values; demonstrate commitment, customer service, effective communication, responsiveness, and accountability; and work effectively with American Indian/Alaska Native populations. Employment is subject to KIC’s drug- and alcohol-free workplace policies and required screening. Certain covered classifications require a federal criminal background check under the Indian Child Protection and Family Violence Protection Act.

Requirements

High school diploma or equivalent.
Three years of experience in healthcare administration, provider enrollment, revenue cycle, insurance, credentialing, payer relations, healthcare billing, or related healthcare operations.
A combination of relevant experience, education, and training may substitute for education and experience requirements on a year-for-year basis.
Proof of a valid driver’s license with an acceptable driving record.
Exceptional attention to detail and accuracy when managing, validating, maintaining, and reconciling data across multiple systems.
Strong organizational, tracking, documentation, and follow-through skills.
Ability to understand the relationship between provider enrollment, payer participation, system configuration, claims processing, reimbursement, and revenue cycle performance.
Ability to maintain, reconcile, analyze, and update information across interconnected systems while understanding downstream effects on billing, claims processing, and reimbursement.
Ability to analyze, investigate, and resolve data discrepancies, enrollment issues, payer issues, reimbursement issues, and other revenue cycle concerns.
Ability to identify root causes of data integrity, enrollment, reimbursement, and system-related issues and implement appropriate corrective actions.
Ability to interpret and apply payer enrollment, reimbursement, provider participation, and related healthcare administrative requirements.
Ability to research and gather information supporting provider enrollment, payer participation, billing readiness, reimbursement, and implementation of new programs or services.
Ability to exercise sound judgment and discretion with confidential provider, patient, payer, tribal eligibility, credentialing, enrollment, and organizational information.
Understanding and sensitivity to American Indian/Alaska Native Tribal culture and lifestyle, and ability to work effectively with AI/AN populations.
Effective oral and written communication skills, with sensitivity to the lifestyles of targeted participants.
Ability to operate personal computers using a variety of software.
Ability to establish and maintain cooperative working relationships with management, coworkers, and outside contacts.
Ability to maintain strict confidentiality and comply with applicable federal and tribal privacy laws and KIC policies, including HIPAA and HITECH.
Ability to learn and apply program and agency operating policies and procedures.
Ability to manage multiple priorities and tasks concurrently and meet deadlines.
Ability to work independently and with teams.
Must adhere to KIC drug and alcohol policies and procedures and pass pre-employment and subsequent random and/or for-cause drug and alcohol screenings to be eligible for and maintain employment.
For covered classifications, employment offers are conditional on receipt of a federal criminal background check verifying eligibility to work in the programs covered by the Indian Child Protection and Family Violence Protection Act.

Nice To Haves

Associate degree in healthcare administration, business, health information management, or a related field.
Five years of progressively responsible healthcare revenue cycle, enrollment, credentialing, or healthcare systems experience.
Experience working with multiple EHR, billing, payer, or practice management systems.
Experience working with Medicare, Medicaid, VA, commercial insurers, or healthcare payer portals.
Community clinic experience.
Strong commitment to multidisciplinary teamwork.

Responsibilities

Maintain provider, payer, facility, location, taxonomy, eligibility, enrollment, and billing information across revenue cycle, clinical, practice management, payer, and other organizational systems.
Coordinate updates across interconnected systems to keep information accurate, consistent, and billing ready.
Validate, reconcile, and maintain data received from internal departments, providers, payers, and external entities.
Coordinate provider, facility, and organizational enrollment, revalidation, and maintenance activities with Medicare, Medicaid, VA, commercial payers, and other third-party payers.
Maintain enrollment records, payer portals, CAQH profiles, credentialing-related data, and supporting enrollment and reimbursement documentation.
Monitor enrollment status, effective dates, renewals, terminations, demographic updates, and other changes that affect billing and reimbursement.
Investigate and resolve data discrepancies, enrollment and payer issues, claim holds, billing concerns, denials, and reimbursement issues related to provider, payer, demographic, taxonomy, location, or system data.
Research root causes of system and data integrity issues, coordinate corrective action, and implement updates to prevent recurrence and reduce reimbursement, billing, and data integrity risks.
Identify and communicate system, enrollment, configuration, and data issues that may affect claims processing, reimbursement, compliance, or revenue capture.
Research enrollment, billing, reimbursement, and payer requirements for new providers, programs, services, locations, and organizational initiatives to support implementation and billing readiness.
Maintain enrollment trackers, status reports, supporting documentation, and electronic records in an organized, audit-ready manner.
Liaise with Revenue Cycle, Patient Access, Human Resources, Finance, Credentialing, clinical leadership, providers, payers, and other stakeholders to gather, validate, communicate, and maintain information needed for billing readiness and reimbursement.
Conduct activities in accordance with payer requirements, HIPAA, KIC policies, and applicable regulatory standards.
Serve as an organizational resource on provider enrollment, payer participation, system data management, and billing readiness.
Perform other related duties as assigned.