Medicine Revenue Cycle Management Coordinator

University of Maryland Faculty PhysiciansBaltimore, MD

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Overview

Schedule

Full-time

Education

Medical Coding (CCA, CCS, CCS-P, CPC)

Career level

Senior-level

Remote

On-site

Benefits

Health Insurance

Life Insurance

Career Development

Job Description

The Revenue Cycle Management Coordinator is a multi-disciplinary role, which combines work from key revenue cycle functions within the Department of Medicine's Billing Office (DOMBO), to include but not limited to: accounts receivable, charge entry, and payment posting. The RCMC 1 will have primary, secondary and tertiary responsibilities, thus will report to the Manager or Supervisor who has oversight of the primary responsibilities. The respective Manager or Supervisor will collaborate with the Manager or Supervisor who has oversight of the secondary and tertiary responsibilities to determine work allocation to ensure that the RCMC is focusing on the greatest need that supports initiatives within the Department of Medicine and DOMBO. The RCMC 1 is responsible for 1) entering patient demographics, insurance information, and professional charges, 2) working accounts receivable and denials for assigned payers, and 3) posting and reconciling payments into the professional billing system for services rendered by Department of Medicine (DOM) Physicians and Advanced Practice Providers (APP). The RCMC 1 ensures that all information entered in the professional fee billing system is precise and accurate; and other duties as assigned.

ESSENTIAL FUNCTIONS

Works across at least 3 revenue cycle management disciplines and prioritizes areas of greatest need/focus. Ability to navigate complex disciplines with multiple locations, billing areas, and/or special workflows.
Researches and conducts insurance verifications for applicable accounts with outstanding balances and/or on denied claims.
Performs daily follow up on rejected claims in 5 or more insurance classes. Ability to work across all insurance classes, prioritizing work based on the greatest need/focus. Ability to create summaries of claims/denials issues within each insurance class.
Performs daily follow up on a variety of reports that identify patient accounts with outstanding balances.
Reviews applicable authorizations/referrals to ensure that they are valid for the service being entered.

EDUCATION and/or EXPERIENCE

High school diploma or general education degree (GED) preferred
Three or more years of experience in a physician billing office
Experience with resolution of claims edits preferred
PC proficiency, to include but not limited to, MS Office software
Knowledge of Athena/GE/IDX, EPIC, or similar computerized billing system
Knowledge of payers in specialty
Knowledge of ICD-10 and CPT coding.
Understanding of: FSC's used in Athena/GE/IDX system, contractual, requirements for the job; importance of compliance with all government regulations regarding billing.

Total Rewards

The referenced base salary range represents the low and high end of University of Maryland's Faculty Physician's Inc. salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. University of Maryland Faculty Physician's Inc. offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://www.umfpi.org/jobs/summary-employee-benefits

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FAQs About Medicine Revenue Cycle Management Coordinator Jobs at University of Maryland Faculty Physicians

What is the work location for this position at University of Maryland Faculty Physicians?

This job at University of Maryland Faculty Physicians is located in Baltimore, MD, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

What pay range can candidates expect for this role at University of Maryland Faculty Physicians?

Employer has not shared pay details for this role.

What employment applies to this position at University of Maryland Faculty Physicians?

University of Maryland Faculty Physicians lists this role as a Full-time position.

What experience level is required for this role at University of Maryland Faculty Physicians?

University of Maryland Faculty Physicians is looking for a candidate with "Senior-level" experience level.

What education level is required for this job?

The education requirement for this position is Medical Coding (CCA, CCS, CCS-P, CPC). Candidates with relevant qualifications or equivalent experience may also be considered.

What benefits are offered by University of Maryland Faculty Physicians for this role?

University of Maryland Faculty Physicians offers following benefits: Health Insurance, Life Insurance, Career Development, 401k Matching/Retirement Savings, and Health & Wellness Programs for this position. Actual benefits may vary depending on the employer's policies and employment terms.

What is the process to apply for this position at University of Maryland Faculty Physicians?

You can apply for this role at University of Maryland Faculty Physicians either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.