Coordinator, Revenue Cycle Management

Coordinator, Revenue Cycle Management

Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero. This position is responsible for reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc.

Responsibilities :

• Receives chemotherapy orders and reviews for compendia compliance, submits for authorization.
• Ensures compendia compliance and obtains all required authorization and referral information for patients' treatments.
• Receives authorization for in-house and outpatient procedures and documenting it in the patient medical record.
• Communicates effectively with the Billing and Office Managers as well as billing and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received.
• Maintains detailed notes in patients' electronic records.
• Reviews schedules daily and ensures appropriate insurance and authorization has been obtained and documented.
• Maintain a high level of confidentiality for patients in accordance with HIPAA standards.
• Ensures patients are contacted prior to appointments to inform them of treatment schedule changes if necessary and when appropriate.
• Become familiar with up-to-date NCCN guidelines.
• Effectively completes other duties and projects as assigned.

Qualifications :

Anticipated hourly range : $15.70 - 24.75 USD Hourly Bonus eligible : No

Benefits : Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

Application window anticipated to close : 12 / 5 / 25 / 2025