Lead Coordinator, Revenue Cycle Management

** Remote

Hours:

Monday - Friday, 6:00 AM - 2:30 PM PST (or based on business needs)*
* ** What Revenue Cycle Management (RCM) contributes to Cardinal Health*
* Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero.

** _Responsibilities_*
* · Provides ongoing support to the team to ensure that day-to-day service and production goals are met.

· Assists management in monitoring associates' goals and objectives daily; motivates and encourages associates to maximize performance.

· Provides ongoing feedback, recommendations, and training as appropriate.

· Assists supervisors in ensuring staƯ adherence to company policy and procedures.

· Assists supervisors in related personnel documentation as required, necessary, or appropriate.

· Acts as a subject matter expert in claims processing.

· Investigates insurance claims; properly resolves by follow-up & disposition.

· Leads and manages invoicing projects, addressing complex issues and ensuring timely resolution to maintain optimal account receivables performance and client satisfaction.

· Resolves complex invoicing complaints, including member call back and agent co, to ensure timely and accurate reimbursement.

· Verifies patient eligibility with secondary insurance company when necessary.

· Bills supplemental insurances including all Medicaid states on paper and online.

· Manages invoicing queue as assigned in the appropriate system.

· Investigates and updates the system with all information received from members.

· Ensures that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgment in any changes that may need to be made.

· Updates patient files for insurance information, Medicare status, and other changes as necessary or required as related to billing when necessary.

· Maintains accurate and detailed notes in the company system.

· Leads the outsourced team, providing guidance, answering questions, and ensuring that the team delivers high-quality customer service related to patient invoicing.

· Serves as the primary contact for outsourced team members, resolving any issues or concerns that arise in the invoicing process.

· Ensures that outsourced team members are trained in company policies,

procedures, and systems related to invoicing and customer service.

· Monitors the performance of the outsourced team, providing feedback and support to help them achieve their goals and improve their skills.

· Collaborates with the outsourced team to identify and implement process

improvements that enhance eƯiciency and customer satisfaction.

· Adapts quickly to frequent process changes and improvements.

· Is reliable, engaged, and provides feedback as to improve processes and policies.

· Attends all department, team, and company meetings as required.

· Appropriately routes incoming calls when necessary.

· Meets company quality standards

** _Qualifications_*
* + High School diploma or equivalent

+ 3 years' experience with insurance billing and processing claims preferred

+ 3 years' experience with Medicare claims, and Medicare and private insurance

+ verification preferred

+ Knowledge of insurance portals; familiarity with a variety of medical and/or

+ insurance terms or practices

+ Full knowledge all areas of collections specialization preferred

+ Proficiency in basic math and business calculations

+ Working knowledge of computer/data entry with the ability to learn new systems

+ Basic level of MS OƯice proficiency

** _What is expected of you and other at this level_*
* + Friendly, professional, and eƯective communications skills; able to calmly present

+ solutions in challenging situations.

+ Proactive identification of challenges, and solution-oriented approach to problem

+ solving.

+ Service-orientation and aptitude to aptitude to resolve insurance and/or patient

+ matters.

+ EƯective analytical skills: able to use inductive and deductive…