POST ACUTE BILLING & REVENUE COORDINATOR

The Post-Acute Billing & Revenue Coordinator is responsible for overseeing the billing and revenue cycle management for post-acute care services, which includes Home Health, Home Infusion and Skilled Nursing Facility. This role ensures accurate and timely processing of claims, reconciliation of payments, and compliance with regulatory requirements. The ideal candidate will possess strong analytical skills, attention to detail, and the ability to work collaboratively with various departments to optimize revenue and ensure financial efficiency.

Essential Duties

• Billing & Claims Management: Prepare, review, and submit accurate claims for post-acute care services to insurance providers, Medicare, and Medicaid. Address and resolve any claim denials or rejections.
• Revenue Cycle Oversight: Monitor and manage the revenue cycle process from patient intake through payment, including billing, collections, and patient account management.
• Compliance: Ensure compliance with all federal, state, and payer-specific regulations and guidelines. Stay current with changes in healthcare billing and reimbursement policies.
• Financial Reporting: Generate and analyze reports on billing, collections, and revenue trends to identify areas for improvement and ensure financial performance targets are met.
• Patient Accounts: Manage patient accounts, including billing inquiries, payment plans, and resolution of account discrepancies.
• Coordination: Collaborate with clinical and administrative staff to obtain necessary documentation and information required for billing and revenue cycle processes.
• Training & Support: Provide training and support to staff on billing procedures, coding practices, and revenue cycle management best practices.

Non-essential Duties

• Assist with special projects related to billing and revenue cycle management as needed.
• Participate in departmental meetings and contribute to process improvement initiatives

Preferred Experience

• (EHR) systems, Epic, PointClickCare, and CareTrend.
• Medical billing and revenue cycle management, preferably in a post-acute care setting. Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to handle sensitive information with confidentiality.

Required Licensure/Education

• High School Diploma

Preferred Education

• Associate’s degree in Business Administration, Healthcare Administration, Accounting, or a related field. 
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so your journey at and away from work is remarkable. Our Total Rewards package includes: 

Compensation

• Base compensation within the position’s pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift differential, on-call
• Opportunity for annual increases based on performance

Benefits - .5 to 1.0 FTE

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Benefits - .001 to .49 FTE:

• Paid Leave Hours accrued as you work

Employee Health Requirements

Exposure/Sensory Requirements:

• Exposure to: 
• Chemicals: N/A 
• Video Display Terminals: Average 
• Blood and Body Fluids: None 
• TB or Airborne Pathogens: None. 

Sensory requirements (speech, vision, smell, hearing, touch):

• Speech: Command of English language, good speaking for verbal communication with public and employees.
• Vision: Required to see computer screens, papers, fax, printer, written materials.
• Smell:
• Hearing: Must be able to hear for verbal and telephone communication.
• Touch: Computer, telephone, handwriting

Activity/Lifting Requirements

Percentage of time during the normal workday the employee is required to: 

• Sit: 75%
• Twist: 0%
• Stand: 10%
• Crawl: 0%
• Walk: 5%
• Kneel: 2%
• Lift: 1%
• Drive: 0%
• Squat: 2%
• Climb: 0%
• Bend: 3%
• Reach above shoulders: 2%

The weight required to be lifted each normal workday according to the continuum described below:

• Up to 10 lbs: Continuously 
• Up to 20 lbs: Occasionally 
• Up to 35 lbs: Occasionally 
• Up to 50 lbs: Not Required
• Up to 75 lbs: Not Required 
• Up to 100 lbs: Not Required 
• Over 100 lbs: Not Required

Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.): 

Maximum consecutive time (minutes) during the normal workday for each activity:

• Sit: 360
• Twist: 0
• Stand: 30
• Crawl: 0
• Walk: 10
• Kneel: 1
• Lift: 5
• Drive: 0
• Squat: 5
• Climb: 0
• Bend: 5
• Reach above shoulders: 5

Repetitive use of hands (Frequency indicated):

• Simple grasp up to 10 lbs. 
• Normal weight: 5# continuously
• Pushing & pulling: Normal weight
• Fine Manipulation: Telephone, sorting papers, computer entry, writing, using fax, printers, typing.

Repetitive use of foot or feet in operating machine control:

Environmental Factors &Special Hazards

Environmental Factors (Time Spent): 

• Inside hours: 8
• Outside hours :
• Temperature: Normal Range 
• Lighting: Average
• Noise levels: Average 
• Humidity: Normal Range 
• Atmosphere: Normal Range
• Special Hazards:None
• Protective Clothing Required:None