Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

The Revenue Cycle Coordinator serves as the primary liaison between Finger Lakes Community Health (FLCH) and its external billing partner. This role monitors billing performance to support timely charge capture, claims submission, payment posting, account resolution, and reimbursement, while ensuring compliance with all relevant requirements. The coordinator collaborates with various internal departments and external partners to resolve billing issues, enhance workflows, meet reporting needs, and support the organization's financial sustainability.

Responsibilities

Coordinate with internal clinical and operational departments to resolve registration, documentation, coding, and charge-entry issues.
Facilitate consistent revenue cycle meetings with external billing representatives and FLCH leadership.
Assist external billers with rejections and denials resolution by providing documentation and ensuring prompt corrections.
Ensure timely delivery of payer remits, contracts, or other documents to the external billing team.
Reconcile deposits in bank to payments posted in eCW, investigating and resolving discrepancies in cooperation with Finance.
Perform annual analysis of master fee schedule and implement approved updates in eCW.
Monitor compliance with Medicare, Medicaid, managed care, commercial payer, and FQHC billing requirements.
Maintain knowledge of NYS Medicaid Prospective Payment System reimbursement, Medicare FQHC billing, wraparound payments, and payer-specific requirements.
Complete quarterly CHP reports and voucher for wrap payment.
Analyze and prepare data reports of threshold visits and payments for annual filing of AHCF and MCVR reports.
Support billing reviews, payer audits, independent coding audits, and documentation requests.
Maintain revenue cycle policies and procedures.
Maintain positive relationships with payers and oversee periodic contract reviews and negotiation.
Assist Finance with month-end revenue reconciliations, annual budgeting/forecasting, and financial audits.
Provide education/training to clinical and operational teams to address identified trends.
Educate providers, managers, and staff regarding billing requirements and revenue cycle processes.
Coordinate with provider operations for periodic 3rd party coding audits and education.
Participate in system implementations, service expansions, and process improvement initiatives.
Supervise patient accounts specialist and dental contracts specialist, ensuring workflows align with goals for timely and accurate claims submissions and reimbursement.
Perform other duties as assigned by Supervisor.

Requirements

Five years of healthcare billing or revenue cycle experience required.
Prior employee supervision experience required.
Must be able to hear and communicate with clients and staff on the telephone and in person.
Must be able to lift up to 10 pounds.
Must have vision adequate to read memos, computer screens, registration forms, and other documents.
Must possess manual dexterity for writing and keyboarding tasks.
Prolonged periods of sitting and working at a computer.
OSHA Level 2 compliance.

Skills

Knowledge of healthcare billing, reimbursement, claims processing, and accounts receivable management.
Knowledge of Medicare, Medicaid, managed care, and FQHC reimbursement requirements.
Proficiency with electronic health records, practice management systems, clearinghouses, and Microsoft Excel.

Location

Finger Lakes Region

Work Type

Full-time

Experience Level

Management experience preferred
Prior employee supervision experience required
Five years of healthcare billing or revenue cycle experience required

Education Level

Revenue cycle, billing, or coding certification is preferred.

Benefits

Monday through Friday schedule, closed all major holidays
Medical, Dental, Vision, and Life insurance
Safe Harbor 3% 401k contribution
Robust PTO offerings
Education assistance

About the Company

Finger Lakes Community Health (FLCH) was founded in 1989 with an original mission of serving the region's agricultural workers by linking individuals to area resources and providing essential health services.
In 2009 the organization expanded to become a Federally Qualified Health Center (FQHC), serving patients of all incomes, ethnicities and walks of life.
Over the last decade, FLCH has grown to provide medical, dental, and behavioral health services to over 28,000 patients at eight health centers.
With over 200 employees, we strive to provide high-quality and innovative health care services to the Finger Lakes Region.

Equal Opportunity

Finger Lakes Community Health uses BambooHR for the hiring and onboarding of our staff. All communications for recruitment will come directly from BambooHR (notifications@app.bamboohr.com) and may appear as spam.