Revenue Cycle Coordinator

Finger Lakes Community Health•Village of Penn Yan, NY

1d•$22 - $30•Onsite

About The Position

Finger Lakes Community Health (FLCH) was founded in 1989 with an original mission of serving the region's agricultural workers by linking individuals to area resources and providing essential health services. In 2009 the organization expanded to become a Federally Qualified Health Center (FQHC), serving patients of all incomes, ethnicities and walks of life. Over the last decade, FLCH has grown to provide medical, dental, and behavioral health services to over 28,000 patients at eight health centers. With over 200 employees, we strive to provide high-quality and innovative health care services to the Finger Lakes Region.

Requirements

Five of healthcare billing or revenue cycle experience required.
Prior employee supervision experience required.
Knowledge of healthcare billing, reimbursement, claims processing, and accounts receivable management.
Knowledge of Medicare, Medicaid, managed care, and FQHC reimbursement requirements.
Proficiency with electronic health records, practice management systems, clearinghouses, and Microsoft Excel.

Nice To Haves

Revenue cycle, billing, or coding certification is preferred.
Management experience preferred.
FQHC experience strongly preferred.

Responsibilities

Coordinate with internal clinical and operational departments to resolve registration, documentation, coding, and charge-entry issues.
Facilitate consistent revenue cycle meetings with external billing representatives and FLCH leadership.
Assist the external billers with rejections and denials resolution by providing documentation and ensure corrections are implemented promptly.
Ensure timely delivery of any payer remits, contracts, or other documents to the external billing team for timely and accurate work flows.
Reconcile deposits in bank to payments posted in eCW; in cooperation with Finance, investigate and resolve any discrepancies.
Perform annual analysis of master fee schedule and perform approved updated in eCW.
Monitor compliance with Medicare, Medicaid, managed care, commercial payer, and FQHC billing requirements through report analysis, random sampling, and other appropriate means.
Maintain knowledge of NYS Medicaid Prospective Payment System reimbursement, Medicare FQHC billing, wraparound payments, and payer-specific requirements.
Complete quarterly CHP reports and voucher for wrap payment.
Analyze and prepare data reports of threshold visits and payments for annual filing of the AHCF and MCVR reports.
Support billing reviews, payer audits, independent coding audits, and documentation requests
Maintain revenue cycle policies and procedures.
Maintain positive relationships with payers and oversee a cycle of periodic contract reviews and negotiation.
Assist Finance with month-end revenue reconciliations, annual budgeting/forecasting, and financial audits.
Provide education/training to clinical and operational teams as needed to address identified trends.
Educate providers, managers, and staff regarding billing requirements and revenue cycle processes.
Coordinate with provider operations for periodic 3rd party coding audits and education.
Participate in system implementations, service expansions, and process improvement initiatives.
Supervise patient accounts specialist and dental contracts specialist, ensuring workflows align with goals for timely and accurate claims submissions and reimbursement.
Other Duties As Assigned by Supervisor