The Role
Manage insurance eligibility and benefits, handle patient billing inquiries and calls, resolve claim denials and unpostable records, submit electronic claims, maintain collections, process refunds/chargebacks, and collaborate to improve billing and collections processes.
Summary Generated by Built In
Job Summary & ResponsibilitiesPreferred Qualifications
SUMMARY OF JOB DUTIES:
The Revenue Cycle Coordinator will support and assist all aspects of revenue cycle management.
ESSENTIAL JOB FUNCTIONS:
- Assist front office staff with insurance eligibility & benefits, determine patient responsibility due, and patient account questions as needed
- Answer billing phone calls and communicate with patients professionally regarding claims, payments, insurance inquiries, account updates, and any other billing matter.
- Resolve claim denials, working claim holds, and researching issues with claim payment in a timely manner.
- Maintain the collections process and collect patient balances in a timely manner.
- Resolve unpostable records and research missing correspondence/EOBs
- Assist with reviewing and processing refund requests, charge backs, returns, and NSF checks.
- Submit electronic claims when necessary.
- Collaborate with revenue cycle analyst to improve billing and collections processes
- Responsible for ensuring patients are in the appropriate insurance package based on Value Base Care rosters.
- Cross train in other aspects of the department as assigned
- Other special projects or duties as assigned
Knowledge/Skills/Abilities:
- Ability to work under pressure and meet deadlines.
- Ability to prioritize and multi-task
- Ability to problem solve and pay attention to detail
- Possess strong communication skills, both written and verbal
- Possess a professional attitude and teamwork mentality
MINIMUM REQUIREMENTS
- High School Diploma or Equivalent
- At least 2 years of healthcare experience preferred
- Knowledge of medical terminology and billing practices.
Skills Required
- High School Diploma or Equivalent
- At least 2 years of healthcare experience
- Knowledge of medical terminology and billing practices
- Ability to work under pressure and meet deadlines
- Ability to prioritize and multi-task
- Problem solving and attention to detail
- Strong written and verbal communication skills
- Professional attitude and teamwork mentality
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The Company
What We Do
Complete Health is a leading privately owned, physician-driven, value-based primary care group headquartered in Jacksonville, FL. They provide exceptional senior-focused primary care across Alabama, Florida, and Colorado, with a mission to redefine physician practice for seniors by empowering providers to focus on patient care within a value-based care environment built specifically for the needs of seniors.
