Revenue Cycle Coordinator Contract Liaison

Job Summary
The Revenue Cycle Coordinator Contract Liaison isresponsible for identifying trends, finding the root cause of the issue and reaching resolution. Provides strong analytic assessment, reporting and operational support on all aspects of the revenue cycle and research operations. In addition, performs efficiently and timely processing of services for follow up, complying with contractual filing and appealing of processes at all times, identifying procedural roadblocks, following all team policies, related procedures, and all compliance plan standards.
Essential Duties:
Monitor on going performance of revenue cycle results through use of key performance indicators.
Identify revenue cycle trends to determine root cause and potential improvement opportunities.
Proficiency in health care and payer guidelines as it pertains to billing and reimbursement
Advise management on matters effecting the revenue cycle operations and recommends enhancements and remedial efforts.
Prepares reports and presentations.
Work with AR reports to identify problems on accounts, research accounts/trends and take appropriate actions to promote reimbursement, bill primary and secondary carriers for services provided, and collect on past due accounts.
Research account request additional information such as referrals, scripts, medical reports, and /or call hospitals.
Efficiently and timely processes of services for follow up.
Work EOBs to post rejections codes, follow up on rejected claims and appeal denial; develop and track written correspondence.
Complete adjustments, check refund request forms, and special transaction forms.
Work with edit reports to identify problems with transmission claims.
Other duties as assigned.
PLEASE NOTE: This is not an exhaustive list of all duties, responsibilities and requirements of the position described above. Other functions may be assigned and management retains the right to add or change duties at any time.
RadNet is an equal employment opportunity employer and treats all applicants and employees in a fair and non-discriminatory manner without regard to race, color, religion, sex (including pregnancy), gender, gender-identity, national origin, ancestry, genetic information, citizenship, age, mental or physical disability, veteran/military status, qualified disabled veteran, marital/ domestic partnership status, religious creed, medical condition, sexual orientation, political activity, or any other characteristic protected by federal, state or local laws.
Minimum Qualifications, Education and Experience
Knowledge of medical terminology and a working knowledge of different types of insurance plans.
Strong Managed Care experience.
Proficient excel experience, including pivoting and manipulating the data, creating visuals, such as graph and charts to identify trends.
Ability to type and have a general computer aptitude. Must be able to maintain professional judgment.
Dependable, energetic, and ability to multitask.
Minimum of 1 year of billing or follow-up experience.
Must be detail-oriented and organized, with good analytical and problem solving ability.
Notable client service, communication, presentation and relationship building skills required.
Ability to function independently and as a team player in a fast-paced environment required.
Must have strong written and verbal communication skills.
Ability to excel with change and respond appropriately even in challenging situations.
Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.) required.
High School diploma or GED required.

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