Overview
This job coordinates and facilitates revenue cycle financial controls and accounts management of the various systems and processes including provider credentialing with the various insurance carriers, patient intake and registration, coding and checkouts of encounters and billing and accounts receivable maximizing cash flow into the organization. It also ensures compliance with all prevailing legislation and regulatory requirements relating to regulatory authorities and third party payers including managed care organizations to ensure optimal collection of revenue
- Documents and supports the development and refinement revenue cycle workflows (patient access, insurance verification, charge capture, payment posting, self-pay and patient follow-up management)
- Subject Matter Expert in central billing office and healthcare revenue cycle applications utilized across the organization
- Optimization, auditing, and setup of work queues for charge capture reconciliation, denial management, clearinghouse, claims management, and payment posting
- Ensure the integrity of the Revenue Cycle Systems databases, charge master, Master File and Dictionary Configuration
- Participate in audit and execute recommendations for improvement of revenue cycle systems
- Implemented primary healthcare professional billing revenue cycle systems
- Oversees systems and processes that maximize cash flow into the organization
Qualifications/Education/Experience
1. Minimum bachelor’s degree in finance, accountancy, business or other related field
2. Minimum five years’ experience in revenue cycle management in the healthcare field
3. Demonstrated ability to proactively maximize business practices to optimize revenue collection (Certified biller is highly desirable)
4. Thorough knowledge of revenue cycle management and affecting legislation and regulatory requirements in healthcare including ICD-9 and ICD-10 codes; and CPT4 coding
5. Knowledge of healthcare finance and accounting practices
6. Proficiency in IT systems and other technology that support revenue cycle management
About Newark Community Health Centers, Inc
Newark Community Health Centers, Inc., FQHC, is a multi-cultural, Patient Centered Medical home- Level III that provides primary care services (Family/Adult Medicine, Pediatrics, OB/GYN, and Dental) and social services. We are dedicated to meeting the health care needs of the medically underserved in the greater Newark area. Join us as we expand!
