The Revenue Cycle Coordinator is responsible for verifying benefits, obtaining authorizations, and managing the claims submission process according to all state, federal, and third-party payer contractual requirements.
Key responsibilities include verifying eligibility and benefits for patients, resolving coverage issues at admission, re-verifying insurance monthly, obtaining and managing authorizations (including Medicaid), processing and submitting claims to Medicare, Medicaid, private insurance and other payers, posting insurance and patient payments, managing billing follow-ups and write-offs, analyzing billing discrepancies, ensuring billing complies with Medicare and Medicaid rate changes, and maintaining relationships with nursing homes to manage Medicaid Room & Board claims.
Additional duties include collaborating with the Controller on work plans and ensuring confidentiality of patient and fiscal data.
The position is full-time, onsite in Kearneysville, WV, with a schedule of Monday-Friday, 8AM-4:30PM.
- High School Diploma required.
- Minimum of three years medical billing and collection experience.
- Hospice and/or home health experience preferred.
- Knowledge of third-party billing and state and federal regulations preferred.
- Ability to prioritize and multitask independently with minimal supervision.
- Must be self-motivated, service-oriented with excellent communication skills.
- Accurate typing and data entry skills.
- Ability to communicate verbally and in writing in English.
- Ability to understand phone and in-person conversations and read print material.
Location
West Virginia, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
From $51,788
Remote work allowed
No
Posted
1 week ago