Revenue Coordinator Job Description
Revenue Coordinator Duties & Responsibilities
To write an effective revenue coordinator job description, begin by listing detailed duties, responsibilities and expectations. We have included revenue coordinator job description templates that you can modify and use.
Sample responsibilities for this position include:
Revenue Coordinator Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Revenue Coordinator
List any licenses or certifications required by the position: ICD, QMF, ITIL, RN, LVN, CDM, EPIC, CPCS
Education for Revenue Coordinator
Typically a job would require a certain level of education.
Employers hiring for the revenue coordinator job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and High School Degree in Accounting, Education, Business, Finance, Associates, Healthcare, Business/Administration, General Education, Economics, Management
Skills for Revenue Coordinator
Desired skills for revenue coordinator include:
Desired experience for revenue coordinator includes:
Revenue Coordinator Examples
Revenue Coordinator Job Description
- Responsible to place accounts identified for denial in an active state in the financial system for proper documentation
- May provide functional advice and training to those less experienced within the office
- Accurately enter patient/client billing data, nursing home rates, level of care, per diem, and physician billing or charges, visit charges, fee for service charges, and verify discharge and admission data
- Coordinate, review and analyze accounts receivable tracking tools and maintains accounts receivable files in order to ensure accurate and timely claim submission and to prevent lost revenue
- Confirm or ensure the accuracy of the data in Horizon
- Ensure eligibility is confirmed and necessary paperwork is accurate and submitted in timely manner to prevent lost revenue
- Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment
- Ensure that the appropriate payers have been identified and verified
- Maintain the bill hold report and continually reviews the prior month bill hold to resolve outstanding items on the report that prevent billing
- Assist in the preparation of monthly accounts receivable, reviews reports in order to ensure accuracy and timely processing of claims billed
- Strong ability to effectively and successfully communicate and use of grammar in various types of communication methods
- Ability to interact successfully with the public
- Effectively demonstrate and convey a favorable image of the organization and to conform to proper standards of professional dress, attitude, and demeanor
- Ability to demonstrate effective interpersonal skills required for interaction with patients, patients’ families and visitors, and clinical staff
- Ability to perform with accuracy and attention to detail
- Demonstrate ability to use initiative and judgment in order to identify, analyze, and solve problems
Revenue Coordinator Job Description
- Ensure all payer requirements are met accordingly, including pre-cert requirements, notification requirements, level of care change requirements and current contract negotiated rates
- Assist and respond in timely manner to all Support Center requests
- Participate in the weekly A/R review
- Participate in morning stand up meeting
- Provide back up for the Admissions Coordinator
- Assist the Support Center with the collection of receivables
- Establish and maintain positive working relationships with patient/clients, payers, and other customers
- Maintain the confidentiality of patient/client and agency information at all times
- Adhere to a code of conduct conducive with the Company’s policy
- Meet or exceeds delivery of Company Service Standards in a consistent fashion
- 2 years Cerner Revenue Cycle design experience
- 1 year Cerner Revenue Cycle build experience
- Experience in similar consulting firms
- Revenue Cycle process redesign experience
- Experience with at least one full EMR implementation lifecycle
- Understanding/knowledge of implementation methodology
Revenue Coordinator Job Description
- Assist in monitoring costs of RMH and ensure that invoices/bills are accurate
- Compose, type and monitor correspondence
- Attend conference calls with payer representatives and present a comprehensive overview of issues causing incorrect contractual payment issues
- Maintain Revenue Cycle scorecards, producing reports for Revenue Cycle projects, and performing manual audits on key Revenue Cycle processes
- Supervise work of Adult, Psychiatry and Children’s Hospital Admissions teams and serve as a payor expert and technical resource
- Supports patient care by resolving hospital pre-certification and pre-authorization issues with physicians, radiologists, radiology technologists, and ancillary staff
- Educates medical team regarding to coding, charge capture, denial, & claim filing limits, process, procedures, concerns & issues
- Acts as a resource to MCH Leaders regarding documentation& coding processes
- Design, conduct and/or broker the delivery of revenue management regulatory training programs from a variety of resources
- Partner with operational leaders and Learning Management System (LMS) stakeholders to develop administrative and LMS frameworks required to support education, training, CEU management, and development programs and initiatives for specialized revenue cycle services (Coding, HIM, CDI, Quality Auditing, Revenue Managers, External Coding Vendor Services)
- Experience (typically one year or more) in a high-volume customer service environment that demonstrates an ability to manage difficult conversations and resolve conflicts
- Demonstrates strong PC skills including proficiency in a variety of software packages
- Demonstrates organizational and work coordinating skills to handle multiple assignments and projects accurately and with attention to detail
- Demonstrates math skills for the purpose of checking figures for accuracy, reconciling balances
- Demonstrated ability to manage difficult conversations
- FQHC/CHC experience preferred (Federally Qualified Health Center and Community Health Center)
Revenue Coordinator Job Description
- Primary functions will be data collection, data entry, and maintenance of tools
- Reporting activities will include utilizing OnQ RM, OnQ R&I, MS Excel, MS Database, GRO, Tableau, Cognos, and Key Hotel Marketing systems and applications to process information and generate daily, weekly, and monthly Revenue Management reports
- Regularly communicate with the internal and external key stakeholders, providing them with the information relevant to information requests
- Must be able to develop and maintain constructive and cooperative working relationships with multiple departments including Brand Performance Support, Revenue Management Operations, RMCC, Marketing, eCommerce, among others
- Additional time will be spent on task and systems training to provide superior service to relevant audiences
- Office Manager of the Case Management Department, including coordinating the daily activities of the administrative assistant in conjunction with the Director of Case Management
- Supports Director of Case Management for high level utilization and compliance projects
- Functions as a Liaison between the Case Management, Finance Department and Denial management
- Coordinates "on-boarding" of new employees responsible for ½ of first day, procuring compliance needs such as badge and acquisition of IS programs
- Coordinates the front end activities of the Medical Centers "unbilled" for the Case Management and Finance Departments
- 2-3 years’ experience in healthcare environment or business office
- Bachelor's degree in business, science, communications, information systems, computer engineering or related field
- Prioritization, time management and organizational skills
- Certified Professional Coder and/or Certified Coding Specialist – Physician required
- Proficiency in coding physician practice and surgical procedures
- Maintain active membership in national association with required C.E
Revenue Coordinator Job Description
- Reviews all denial letters from Payers intervene or distribute to the appropriate Case Managers
- Monitors Case Manager's responses, with the goal to promote early response and resolution of these denials in real time
- Responsible for the forwarding of clinical information obtained from the case managers or retrieving it from Allscripts and directing to appropriate payer
- Works on daily missing authorizations, ensuring the authorizations are captured for medical necessity by interacting with multiple individuals and multiple departments, thereby enhancing the speed of cash flow
- Works own cases, for the capture of timely revenue
- Compile weekly observation report for Admissions and Finance Department to promote accurate reporting and billing
- Responsibility for the addition of the observation "billing charge" as determined after investigation of the front-end of the billing process, and the assurance of the accuracy of the report and its outcomes
- Responsibility to release or add bill holds for all inpatients level of care accounts
- Attends weekly case management staff meetings and finance team meetings and contributes to development of best practices, while assisting in the improvement and direction of the "unbilled/denial" process
- Notifies the Finance and Admissions Department of any changes to inpatient accounts, such as level of care, appeal outcome, re-bills bridges and billing charges to improve cash flow
- Bachelor's degree in Healthcare, Business or related field is required
- Coding Credential (CPC, COC, CCA, CCS, RHIT)
- Two (2) years experience working with a hospital charge description master
- High School Degree/GED with a minimum of two (2) years of experience in an Analytical or Hospitality-based role or a BA/BS Bachelor’s degree in Hospitality, Business Administration, Finance, or Economics
- Excellent interpersonal skills are necessary in dealing with peers, internal, and external customers
- Accounts payable scanning, indexing and researching invoices