Remote Revenue Coordinator // CO RESIDENTS ONLY

Description:

•Initiate and/or maintain ongoing communication with facilities to ensure timely, accurate receipt of patient insurance coverage information

•Verify patient insurance with payors including eligibility and benefits related to outpatient kidney dialysis

•Update Patient Registration and associated systems accurately and as required

•Coordinate and partner closely with Patient Referral Coordinators (PRC) to obtain required documentation for successful patient registration

•Partner with facility and Insurance Management Team to resolve incomplete registrations

•Resolve patient account errors that cause registration denials

•Help identify process changes to prevent failed registrations

•Determine Coordination of Benefits as required; maintain current patient account information at all times

•Submit internal requests including but not limited to RCUs, SMARTFORMS, PCS Inquiries, SPA Requests, etc. to ensure accurate and timely claims submission to the correct payors

•Complete all ancillary reports and assigned projects within established timeframes

•Maintain confidentiality of all company and patient information in accordance with HIPAA regulations

Qualifications:

•High school diploma or equivalent required

•Basic computer skills and proficiency in MS Word, Excel, and Outlook required

•Minimum of three (3) years’ healthcare reimbursement experience preferred; experience with admissions, billing, and collections required

•Knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and/or managed care payors in multiple states required

Experience Level:

Expert Level