Revenue Reimbursement Coordinator

Education and Work Experience:

• Associate’s/Technical Degree or equivalent combination of education/related experience: Required


• Bachelor's Degree: Preferred


• Five years' hospital/medical office experience: Preferred

Essential Functions:

• Performs account-level reviews to ensure timely and full reimbursement according to payer contracts.


• Validates insurance coverage, contract assignment, and authorization status for high-dollar and at-risk accounts. Identifies barriers to clean claims and timely payment; tracks and trends denials, escalating systemic issues to the Director.


• Supports AR Reserve analysis and identifies trends that significantly impact net patient revenues. Prepares supporting reports and documentation for payer escalations, appeals, and Joint Operating Committees.


• Collaborates with Clinical and Revenue Cycle leaders to correct process gaps and prevent recurring revenue leakage.


• Maintains a cooperative and flexible team role, assisting the department with payer escalations and revenue cycle projects as needed.


• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.


Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.