Revenue Cycle Coordinator

La Clínica del Pueblo

Job Description

Job Title : Revenue Cycle Coordinator

Department : Finance

Supervisor : Patient Revenue Manager

Location : Hyattsville, MD

Classification : Salary / Exempt

Synopsis : Under the supervision of the Patient Revenue Manager, the Revenue Cycle Coordinator is responsible for preparing and submitting timely and accurate insurance claims to third-party payers using eClinicalWorks (eCW), verifying and posting payments and adjustments, managing aging reports, and following up on denied or underpaid claims. The Revenue Cycle Coordinator also plays a critical role in assisting with payer enrollments for all providers, ensuring credentialing documentation is complete and submitted in a timely manner, and maintaining compliance with FQHC and payer-specific requirements. This role requires a high level of attention to detail, the ability to work independently, and in coordination with La Clínica's staff and contractors.

Qualifications : Required Education and Experience :

• High school diploma or equivalent required.
• Understanding of payer EOBs / Remits.
• Strong computer skills including Microsoft Word, Excel
• Minimum of 2-3 years of experience using ICD-10, HCPCs, CPT, medical coding and billing.
• Minimum of 2-3 years of experience in a revenue cycle billing position (Experience with medical billing, patient registration, or insurance verification).
• Experience using electronic medical records (EMR); eCW preferred.
• Excellent oral, written, and telephone communication.
• Working knowledge of rules and regulations pertaining to the FQHC guidelines.
• Ability to prioritize and manage multiple tasks with efficiency in dealing with multiple facilities, departments and programs.
• Ability to handle a large volume of project receiving, submitting and researching claims.
• Ability to work independently with minimum supervision in a team-oriented environment and interrelates well with individuals with diverse ethnic and cultural backgrounds and needs.

Preferred Education and Experience

Duties and Responsibilities :

Physical Requirements :

Supervisory Responsibilities : None