Revenue Cycle Coordinator

Baptist Health Care
United States, Florida, Pensacola
9400 University Parkway (Show on map)
August 26, 2022
The Revenue Cycle Coordinator is a staff level position that will be responsible for maintaining all essential functions related to the revenue cycle and medical records compliance including, but not limited to account management, insurance verification, and billing/collections. Team members will cross-train within the business office to allow for smooth, fluid systems within the revenue cycle. High School Diploma or General Education Degree One (1) year of relevant healthcare revenue cycle experience is required. ACS setting is preferred. Knowledge of Medical terminology; CPT coding and NCCI, ICD 10 CM and HCPCS; Medicare Rules & Regulations related to covered services, billing, ABN and Medical Necessity Requirements (LCD); Medical Records Compliance Request for Reimbursement (Pre & Post Procedure); Coordination of Benefits; Third Payer Medical Policies; Pre-Certification Rules & Authorization Requirements; Fair Debt Collection Act; Worker's Compensation Rules (Florida & Out of State) and PIP Rules. Understanding Payer Contract Language and Applying Optimum Customer Service. Knowledge of Coordination of Benefits. Billing and Payment Rules. Denial Management. Logical Math and Computer Skills.