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    Revenue Cycle Coordinator - Toledo, United States - Unison Behavioral Health Group

    Unison Behavioral Health Group
    Unison Behavioral Health Group Toledo, United States

    3 weeks ago

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    Description
    Revenue Cycle Coordinator

    The revenue cycle coordinator position is responsible to develop, plan, organize, and implement current and future strategies to bill customers, process payments, minimize debt, improve cash flow, and manage the overall health of the company's billing receivables. Builds and maintains collaborative relationships outside the company externally as well as internally within the company. Responsible for revenue cycle projects and initiatives as assigned.

    Education/Experience/Other Requirements:
    • Requires degree in health care administration, business, or other related fields, OR equivalent job experience,
    • Requires minimum 5 years' experience directly or combined in revenue cycle, billing, managed care, or credentialing functions.
    • Must have a strong knowledge of medical billing and coding procedures, including insurance guidelines and pre-authorization requirements.
    • Preferred background in revenue cycle process, knowledge of the use of software programs relating to billing including Excel and Electronic Health Record (SmartCare) or other clinical billing packages.
    • Must have critical thinking and process improvement skills.
    • Must have knowledge of and experience with computers, with computerized billing, coding, and payor requirements. Position requires acquired familiarity with multiple portal platforms.
    • Must be able to maintain confidentiality.
    • Must have exceptional attention to detail and strong organizational skills.
    Primary Duties:
    • Create a prior authorization process including timely submission, appropriate documentation, denials, claim submission, and tracking.
    • Develop AR/Billing metrics that follow industry benchmarks including AR, bad debt, denials, days to pay, and days to bill.
    • Work closely with IT to develop robust daily, weekly, and monthly reporting.
    • Develop strong relationships with Heath Plans to better enhance communication.
    • Strategize to ensure maximum billings of services.
    • Become a subject matter expert in Medicaid Behavioral Health services/coding.
    • Facilitate and lead the working of denied claims including tracking external issues, process improvements internally to reduce denied claims, and tracking denial trends.
    • Aid in the refinement of policies, guidelines, and implementing procedures to support billing metrics.
    • Provides leadership and coordination for assigned projects and is responsible for ensuring priorities are established and communicated and deadlines are met.
    • Monitors aging and ensures timely filing and payment of claims.
    • Maintains current knowledge regarding public and private payers, claim process and effective denial management.
    • Stays current with trends and developments related to essential job competencies and demonstrates continuous growth.
    Unison also offers:

    Eight paid holidays

    Medical, dental and vision insurance, short and long-term disability plans and life insurance

    403b retirement plan that includes a base and match

    On-site education and training

    Tuition reimbursement

    Generous PTO starting day one

    HSA with employer contribution

    EOE
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