Revenue Cycle Coordinator

Modivcare

About The Position

The Revenue Cycle Coordinator ensures timely and accurate payment for services rendered by managing accounts receivable, verifying insurance coverage, and communicating effectively with payers, clients, and other stakeholders. The role supports revenue cycle management, billing, collections, and electronic visit verification (EVV), and adapts to changing responsibilities and priorities. The coordinator monitors accounts receivable and outstanding balances, supports accurate claim submissions, investigates billing discrepancies and denials, and helps ensure completed visits are eligible for billing. The position also maintains billing and insurance records, audits billing functions, supports system updates and data entry, and helps the team comply with applicable regulations, privacy policies, and SOX requirements. It responds to billing inquiries, prepares reports for management, and maintains professional relationships with clients, payers, and other stakeholders.

Responsibilities

Monitor and manage accounts receivable, including timely collection of payments for services provided.
Review outstanding accounts, identify delinquent or unpaid invoices, and take appropriate action to resolve balances.
Use electronic billing systems and software to track and update payments, maintain accurate billing records, and generate reports.
Collaborate with the billing team on complete and accurate claim submissions and resolve billing discrepancies or errors.
Verify client insurance coverage, eligibility, benefits, and pre-authorization requirements, and maintain accurate insurance records.
Support Revenue Cycle Management efforts related to revenue cycle, billing, collections, and EVV.
Monitor portal rejections and identify billing reprocessing needs in a timely manner, including EVV when necessary.
Liaise with the internal billing team, Central Operations, and authorizations to correct errors and verify services.
Provide system updates, weekly audits, and data-entry support to correct errors and make completed visits eligible for billing.
Monitor accounts receivable related to service authorizations to ensure payment.
Troubleshoot system problems and communicate them to a Supervisor or Manager.
Follow SOX compliance requirements within systems and watch for potential fraud that could result in incorrect billing.
Audit and validate billing functions and update and cross-check billing procedure codes in the system.
Maintain and grow skills in billing tools and provide subject matter expertise on Revenue Cycle systems to support learning and process improvement.
Respond to billing inquiries from clients, insurance companies, and other parties; explain charges, address concerns, and resolve disputes in a timely manner.
Investigate and resolve billing discrepancies and claim denials with payers and the billing team to facilitate appropriate reimbursement.
Prepare reports on accounts receivable status, aging analysis, and collection efforts, and present findings to management.
Maintain organized documentation of collection activities, communication logs, payment arrangements, and correspondence.
Stay current with insurance regulations, billing guidelines, and industry changes, and comply with applicable laws and regulations.
Protect sensitive financial and personal information in accordance with privacy and confidentiality policies.
Maintain positive, professional relationships with clients, insurance companies, and other payment-process stakeholders.
Communicate with clients about financial responsibilities, payment options, and outstanding balances.
Participate in other projects or duties as assigned.