Revenue Cycle Coordinator

Hemophilia of Georgia is seeking a Revenue Cycle Coordinator to manage the full revenue cycle for medication distribution to patients with bleeding disorders. This is a full‑time, non‑exempt position located in a hybrid setting (office and up to two remote days after the introductory period).

• Base: $25.00–$30.00 per hour (based on skill and experience)
• Additional compensation details available through recruitment discussion

• Track claims from order creation through reconciliation, ensuring timely payment.
• Coordinate insurance eligibility verifications for pharmacy clients.
• Obtain prior authorizations for all prescribed products proactively.
• Maintain current, accurate insurance information across all systems.
• File pharmacy and medical benefit claims daily and serve as backup for additional accounts.
• Follow up on claims to ensure adjudication aligns with payer contracts.
• Review EOBs and allocate daily payments.
• Research and resolve payment discrepancies, ensuring account resolution within payer agreements.
• Investigate denied and improperly processed claims with the Payer Relations Account Manager.
• Handle remaining balances via secondary insurers, co‑pay assistance, patient statements, or write‑offs.
• Send Client Assistance Program letters and enrollment forms to clients as needed.
• Stay current on billing requirements and payer changes.
• Process correspondence and conduct follow‑up on assigned accounts.
• Coordinate claim escalations and appeals to maximize collection opportunities.
• Collaborate on recoupments and write back to insurance companies or Medicare.
• Generate refund letters and work with finance to reconcile client accounts.
• Maintain all required documentation within specified timeframe.
• Perform additional duties as assigned by leadership.

• Preferred medical patient account or revenue management certification.
• Minimum 3 years experience billing and collecting on healthcare claims.
• Experience with eligibility verification and prior authorization processes.
• Ability to learn new software programs.
• Proficiency in Microsoft Office Suite, especially Excel.
• Work independently and collaborate with team members.
• Strong time‑management skills with the ability to meet deadlines and manage multiple priorities.
• High accuracy and thoroughness in monitoring work for errors.
• Team player who brings initiative, positivity, and creativity.
• Ability to maintain confidentiality.

• Supervisor:
  Payer Relations Account Manager.
• Work Location:
  
  Hybrid.
• Culture Commitment:
  Positive work atmosphere, effective communication, and collaboration.
• Uniforms:
  All exempt employees, including this position, participate in the annual summer camp program (camp participation required, reservations for travel and overnight stay).