POSITION SUMMARY
Conditions of employment
This position will support & assist in all departments & aspects of Revenue Cycle Management. This position oversees Eligibility Maintenance Technicians and the Network Revenue Specialists assigned to the Revenue Cycle Operations Department. This position is responsible for supporting management in maintaining, improving, processing, and evaluating all areas of revenue cycle process including: billing, claims, verification of benefits, report writing, data mining, data integration, denials, and other jobs as advised by First Choice Pediatrics leadership. This will encompass cross-training and daily contribution across multiple departments driving the Revenue Cycle process including, but not limited to, Patient Compliance, Clinical Infomatics and Technical Support, PCMH, and Business Analytics.
Revenue Cycle Coordinator I- Entry level; internal transfer with experience in at least one or more areas of Revenue Cycle. Must be working toward competency in several areas of Revenue Cycle. Upon Completion of the Revenue Cycle Coordinator I training, demonstration of all job competencies & meeting or exceeding goals and performance expectation, the employee may be offered the opportunity to apply and/or be considered for the Intermediate Level 2 position. The Revenue Cycle Coordinator I work hours and expectations are – Hiring department: 100% of work hours – at 40 hours per week and completing all goals set by First Choice Pediatrics leadership. *Individual performance will be outlined with set expectation for the department.
Revenue Cycle Coordinator II – Intermediate level; Independent professional experience and education in Revenue Cycle. Must be working toward competency in several areas of Revenue Cycle. Upon Completion of the Revenue Cycle Coordinator II training, demonstration of all job competencies & meeting or exceeding goals and performance expectation, the employee may be offered the opportunity to apply and/or be considered for the Advanced Level 3 position. The Revenue Cycle Coordinator II work hours and expectations are – Hiring department: 100% of work hours – at 40 hours per week and completing all goals set by First Choice Pediatrics leadership. 50% of work hours contribution to the hiring and allocating department daily tasks, 50% to administrative requirements as outlined by First Choice Pediatrics leadership. *Individual & Team Metrics for
performance will be outlined with set expectation for the department. Those
metrics must be met to be considered for a higher level Revenue Cycle position.
Revenue Cycle Coordinator III – Advanced level; ; Independent professional experience and education in Revenue Cycle in a supervisory, management position. Expressed competency in most areas of Revenue Cycle. The Revenue Cycle Coordinator III: 100% of work hours – at 40 hours per week and completing all goals set by First Choice Pediatrics leadership. 50% of work hours contribute to the hiring and allocating department daily tasks, 50% to administrative requirements as outlined by First Choice Pediatrics leadership. *Individual & Team Metrics for performance will be outlined with set expectation for the department. Those metrics must be met to be considered for a higher level Revenue Cycle position.
MINIMUM JOB REQUIREMENTS
Education & Qualifications:
Education: Bachelor’s Degree or equivalent proven work experience is required. Extensive experience in health care administration/health information management preferred.
Job Knowledge: Active knowledge of clinical terminology preferred. Ability to establish and maintain strong working relationships with clinical staff, office staff and community partners is required.
Skills: Analytical ability to evaluate and interpret clinical and report data.
Software: eClinical Works, clearinghouse navation, medical billing/software, Payer portals, Medicaid portal
Computer Skills: Proficiency in the use of a computer, basic knowledge of Microsoft Office, and ability to quickly adapt to in-house computer systems are required. Strong typing and accurate data entry skills are preferred.
Transportation: Must have reliable transportation.
