Talent.com
Adventist Health
Revenue Reimbursement CoordinatorAdventist Health • Simi Valley, CA, United States
Revenue Reimbursement Coordinator

Revenue Reimbursement Coordinator

Adventist Health • Simi Valley, CA, United States
1 day ago
Job type
  • Full-time
Job description

Revenue Reimbursement Coordinator

Centered in beautiful Southern California, Adventist Health Simi Valley has been one of the area's leading healthcare providers since 1965. We are comprised of a 144-bed hospital, home care services and a vast scope of award-winning services located throughout Ventura County. Simi Valley is a suburban area nestled between an urban oasis and the stunning shores of the Pacific Ocean. Bordering Los Angeles allows hiking in the morning and attending film premieres in the evening.

Adventist Health Simi Valley is seeking a Revenue Reimbursement Coordinator for a full-time position with 8-hour day shifts. We are looking for a qualified and dedicated individual who is able to work onsite at our Simi Valley, CA location.

Supports the Revenue Management department by performing account-level reviews, validating payer adjudication against contract terms, and preparing analytic reports to identify systemic issues, trends, and payer behaviors. Collaborates with Patient Access, Utilization Management, Case Management, Patient Financial Services, Revenue Integrity, and other Revenue Cycle pillars to support denial prevention, process improvement, payer escalations, and reimbursement optimization. Provides detailed account and trend analysis to assist the Director, Revenue Analytics in decision-making.

Job Requirements:

  • 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 E-Verify 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.

Create a job alert for this search

Revenue Reimbursement Coordinator • Simi Valley, CA, United States

Similar jobs

Client Services Coordinator - Cell Solutions (REMOTE)

Charles RiverNorthridge, CA, United States
Remote
Full-time

For 75 years, Charles River employees have worked together to assist in the discovery, development and safe manufacture of new drug therapies.When you join our family, you will have a significant i... Show more

 • Promoted

Purchasing Coordinator

GovernmentJobs.comValencia, CA, United States
Full-time

The PositionUnder direction, independently performs or assists Agency staff in purchasing transactions for a variety of materials, supplies, services, and equipment in accordance with Agency and St... Show more

 • Promoted

AP Vendor Master Coordinator

LancesoftWoodland Hills, CA, United States
Full-time

Account Payable CoordinatorWe are currently seeking an AP Coordinator in the Financial Operations group responsible for auditing vendor master data input by the offshore team, which includes review... Show more

 • Promoted

Reimbursement Specialist

Maven WiseValencia, CA, United States
Full-time

Insurance Reimbursement Specialist.Maven Wise, LLC is recruiting for an Insurance Reimbursement Specialist to support insurance reimbursement for pre-sales and post-sales service functions with a g... Show more

 • Promoted

Coordinator I

Health AdvocatesChatsworth, CA, United States
Full-time

Coordinator IHealth Advocates is seeking a detail-oriented Coordinator I to support our team's daily operations for our main office in Chatsworth, CA.This role involves coordinating tasks across de... Show more

 • Promoted

Remote Medicaid Accounts DirectorAccess & Reimbursement

Arcutis Biotherapeutics IncWestlake Village, CA, United States
Remote
Full-time

A leading medical dermatology company is seeking a Director of Medicaid Accounts to lead the Medicaid payer strategy.This position requires strong leadership skills, strategic account management, a... Show more

 • Promoted

Referrals Team Lead

Concentra CareersValencia, CA, United States
Full-time

OverviewPosition SummaryThe Referrals Team Lead has primary responsibility to ensure colleagues understand and can apply the knowledge of departmental processes and serves as the first line resourc... Show more

 • Promoted

Travel Radiation Therapist - $3,248 per week in Northridge, CA

AlliedTravelCareersNorthridge, CA, US
Full-time

A facility in Northridge, CA is seeking its next amazing Radiation Therapist.Read on if this sounds like your perfect fit! Minimum of one (1) year of recent clinical experience required.Nurses and ... Show more

 • Promoted

Brand Ambassador/Account Manager

American Family CareAgoura Hills, CA, United States
Full-time

We are currently seeking a Brand Ambassador to represent our expanding organization.Brand Ambassador provides a consistently excellent service and sells various services to local area businesses.Th... Show more

 • Promoted

Patient Care Coordinator, Outbound (Remote)

Marquee StaffingTarzana, CA, United States
Remote
Full-time

Duties and Responsibilities :Manage a higher-level of responsibility of scheduling such as overseeing the scheduling of complex order types such as but not limited to :surgeries, procedures, imagin... Show more

 • Promoted

Hospital Liaison

Lincare HoldingsChatsworth, CA, United States
Full-time

The Liaison will interact daily with hospital case managers at each facility assigned to deliver and set up O2 portability, nebulizers, and small DME items for patient discharge.The Liaison will pr... Show more

 • Promoted

Clinical Research Coordinator - Encino, CA

IQVIA HoldingsEncino, CA, United States
Full-time

Working On-site Schedule: 24 hours per week.Phlebotomy is required, and pediatric experience is also needed.Additionally, community outreach will be part of the role.Perform a variety of complex cl... Show more

 • Promoted

HCC Coordinator

Regal Medical GroupCanoga Park, CA, United States
Full-time

Position Summary:The HCC Coordinator primarily provides administrative support to HCC team and also supports other members of the Finance Department when needed.Essential Duties and Responsibilitie... Show more

 • Promoted

Activities Coordinator

Passages MalibuMalibu, CA, United States
Full-time

Passages Malibu - Malibu, CA 90265.Hourly Position Type Full Time Education Level High School Diploma or G.Travel Percentage Local travel among company locations Category Health Care.Full Time Acti... Show more

 • Promoted

Treatment Coordinator

Our Best Life CompaniesCanoga Park, CA, United States
Full-time

Treatment Coordinator Opportunity Our Best Life Companies.Our Best Life Companies is seeking an experienced Treatment Coordinator (TC) to join our high-performing dental team! This is a fantastic ... Show more

 • Promoted

Sr. Director, Pharmacy - Prior Authorization & Call Center

Blue Shield of CaliforniaWoodland Hills, CA, United States
Full-time

Senior Director, Pharmacy Prior Authorization and Call Center.The Blue Shield of California (BSC) Pharmacy team is passionate about making a meaningful impact by reimagining pharmacy care.Ensuring ... Show more

 • Promoted

Healthcare Coordinator

PDS HealthCanoga Park, CA, United States
Full-time

Join Platt Village Dental Group and Orthodontics.Now is the time to join Platt Village Dental Group and Orthodontics.You will have opportunities to learn new skills from our team of experienced pro... Show more

 • Promoted

Loan Review Specialist

Western Alliance BancorporationWestlake Village, CA, United States
Full-time

Location: CA - Westlake Village.As a Loan Review Specialist, you'll be responsible for the pre-purchase review of Conventional, Non-Conforming, FHA, USDA, and VA loan files to ensure file contains ... Show more

 • Promoted

House Coordinator

momentum-formerly-ucplaWoodland Hills, CA, United States
Full-time

Schedule Available:Varying hours, five days per week, including weekends and holidays (full-time/40 hours per week)Position will be located in Buena Park or Harbor CityMomentum is hiring a House Co... Show more

 • Promoted

Client Service Coordinator

Banfield Pet HospitalChatsworth, CA, United States
Full-time

A career at Banfield means you'll find yourself working in the pet healthcare field alongside industry experts with a chance to make a difference in the lives of pets and the clients we serve throu... Show more