Revenue Cycle Coordinator

Job not on LinkedIn

🔥 15 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Modivcare

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🚗 Transport

💰 $525M Post-IPO Debt on 2024-07

Healthcare • Healthcare Insurance • Transport

Modivcare is a company that focuses on simplifying the experience of living with complex healthcare needs by providing a comprehensive suite of supportive care solutions. They specialize in non-emergency medical transportation, personal care, and virtual & remote patient monitoring. Modivcare works closely with Medicaid Plans, State Agencies, Medicare Advantage, SNP Plans, health systems, healthcare professionals, and transportation providers, ensuring that members receive necessary health services. Through innovative technology and data-driven strategies, they address social determinants of health by offering services like quality transportation, chronic care management, meal delivery, and in-home assistance, aimed at optimizing patients' health outcomes and improving their overall experience.

📋 Description

• Monitor and manage accounts receivable to ensure timely collection of payments • Review outstanding accounts and resolve delinquent or unpaid invoices • Use electronic billing systems to track payment information, maintain billing records, and generate reports • Collaborate with the billing team on accurate claim submissions and billing discrepancy resolution • Verify client insurance coverage, eligibility, benefits, and pre-authorization requirements • Maintain accurate and updated insurance records • Support Revenue Cycle Management activities involving billing, collections, and EVV • Monitor portal rejections and identify timely billing reprocessing, including EVV when necessary • Liaise with internal billing, Central Operations, and authorizations teams to correct errors and verify services • Provide system updates, weekly audits, and data-entry support so completed visits are eligible for billing • Monitor accounts receivable related to service authorizations • Troubleshoot system problems and communicate concerns to a supervisor or manager • Follow SOX compliance procedures and monitor for potential fraud • Audit and validate billing functions and cross-check billing procedure codes • Develop expertise in revenue-cycle systems and support learning and process improvement • Respond to billing inquiries and resolve disputes from clients, insurers, and other stakeholders • Investigate and resolve billing discrepancies and claim denials to facilitate reimbursement • Prepare accounts receivable, aging, and collections reports for management • Maintain documentation of collection activities, communications, payment arrangements, and correspondence • Stay current with insurance regulations, billing guidelines, and industry changes • Maintain professional relationships with clients, insurance companies, and other stakeholders • Communicate with clients about financial responsibilities, payment options, and outstanding balances • Participate in other projects or duties as assigned

🎯 Requirements

• Experience with electronic billing systems and software • Knowledge of accounts receivable, billing, collections, and revenue cycle management • Ability to verify insurance coverage, eligibility, benefits, and pre-authorization requirements • Ability to prepare billing and accounts receivable reports, including aging analysis • Ability to investigate and resolve billing discrepancies, claim denials, and payment issues • Knowledge of insurance regulations and billing guidelines • Ability to maintain accurate billing, insurance, and collection documentation • Ability to perform data entry, system updates, audits, and billing procedure-code cross-checks • Ability to follow SOX compliance requirements • Ability to protect confidential financial and personal information • Ability to identify potential fraud and incorrect billing • Ability to troubleshoot system problems and communicate issues to a supervisor or manager

🏖️ Benefits

• Medical, Dental, and Vision insurance • Employer Paid Basic Life Insurance and AD&D • Voluntary Life Insurance (Employee/Spouse/Child) • Health Care and Dependent Care Flexible Spending Accounts • Pre-Tax and Post-Tax Commuter and Parking Benefits • 401(k) Retirement Savings Plan with Company Match • Paid Time Off • Paid Parental Leave • Short-Term and Long-Term Disability • Tuition Reimbursement • Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

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