Revenue Reimbursement Coordinator
About The Position
Adventist Health and Rideout is looking for a Revenue Reimbursement Coordinator for a Full-time, Day Shift position. This role is based onsite in Marysville, CA. The position supports the Revenue Management department by performing account-level reviews, validating payer adjudication against contract terms, and preparing analytic reports to identify systemic issues, trends, and payer behaviors. The coordinator will collaborate with various departments such as Patient Access, Utilization Management, Case Management, Patient Financial Services, Revenue Integrity, and other Revenue Cycle pillars to support denial prevention, process improvement, payer escalations, and reimbursement optimization. This role provides detailed account and trend analysis to assist the Director, Revenue Analytics in decision-making.
Requirements
- Associate’s/Technical Degree or equivalent combination of education/related experience: Required
Nice To Haves
- Bachelor's Degree: Preferred
- Five years' hospital/medical office experience: Preferred
Responsibilities
- Performs account-level reviews to ensure timely and full reimbursement according to payer contracts.
- Validates insurance coverage, contract assignment, and authorization status for high-dollar and at-risk accounts.
- Identifies barriers to clean claims and timely payment; tracks and trends denials, escalating systemic issues to the Director.
- Supports AR Reserve analysis and identifies trends that significantly impact net patient revenues.
- Prepares supporting reports and documentation for payer escalations, appeals, and Joint Operating Committees.
- Collaborates with Clinical and Revenue Cycle leaders to correct process gaps and prevent recurring revenue leakage.
- Maintains a cooperative and flexible team role, assisting the department with payer escalations and revenue cycle projects as needed.
- Performs other job-related duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
