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Revenue Cycle Coordinator in Chicago, IL at TeamHealth

Date Posted: 7/30/2018

Job Snapshot

Job Description

ESSENTIAL DUTIES AND RESPONSIBILITIES:

 

  • Assist with the development of policies and procedures that drive the day to day operations of the Program Revenue Cycle.
  • Monitor and audit all physician/provider files to ensure all documents are complete and appropriate signatures are obtained.        
  • Communicate and follow up with internal departments regarding the completion of provider files according to established criteria.
  • Follow up with providers to obtain appropriate signatures on billing related documents.
  • Monitor outstanding billing tasks weekly at the program level working closely with third party billing companies and internal staff.
  • Enter file information into computer systems and develop tracking mechanisms in order to monitor contents of each file.
  • Serves as primary contact to physician office staff, internal and external billing department to evaluate the issue and determine the necessary course of action.
  • Performs analysis and special projects for billing, compliance and operations initiatives as needed.
  • Assists with monitoring and auditing of external and internal billing to monitor productivity and project completion deadlines.
  • Analyzes billing reports to identify problematic areas that require additional focus and initiates procedural or system changes as required improving the revenue cycle.
  • Researches literature and Internet to find answers and provide recommendations to specific questions concerning billing, compliance and reimbursement.
  • Assists with maintaining practice management master files.
  • Reviews refund requests for accuracy and payor specific requirements.
  • Assists with maintaining and updating policy and procedure manuals.
  • Maintains compliance with HIPAA, Medicare, Medicaid and third party payors.
  • Follows Delphi and department policies and procedures with special attention to attendance and punctuality, confidentiality, dress code and safety.
  • Provides coverage for the Front Desk/Receptionist on a rotating basis
  • Performs other duties as required and assigned by the Billing Director. These may, on occasion, be unrelated to the position described here.                        

 

Job Requirements

QUALIFICATIONS and/or EXPERIENCE

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.

 

      EDUCATION:                 High School Diploma required.  Associate's degree in related field preferred.  

 

      EXPERIENCE:

Five years experience in an automated practice management/computer environment a plus. Five years experience in medical billing. Thorough knowledge of Medicare and Medicaid billing requirements required. ICD-9 and CPT-4 knowledge. Coding certification preferred. Strong written and verbal communication skills required.

       SPECIFIC SKILLS:       

Advanced computer skills required. Intermediate level excel and spreadsheet creation.  Must have ability to appropriately handle confidential information.  Good verbal, mathematical and communication skills are essential.  Must be detail oriented.  Knowledge of HIPAA and privacy regulations.  Efficient organization and time management.  Effective organizational and interpersonal skills as well as the ability to multi-task and problem solve using critical thinking.