Medicine Revenue Cycle Management Coordinator

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