Job details The Revenue Cycle Coordinator (RCC) is responsible for managing clients' accounts through the entire revenue cycle process surrounding the dispensation and reimbursement of medications to treat people with bleeding disorders. The RCC is assigned specific third-party payers and works with designated Payer Relations Account Managers to optimize reimbursement. It is the responsibility of the RCC to follow and track the claim from creation of an order, through complete account reconciliation, taking the necessary steps to ensure payment. This is an onsite position and is not eligible to work remotely. ...
Responsibilities:
Maintain a positive work atmosphere by acting and communicating in a manner so that you work productively, effectively, and efficiently with customers, clients, co-workers, volunteers, and management.
Essential Functions:
Coordinate all insurance eligibility verifications for pharmacy clients.
Proactively obtain prior authorization for all prescribed products.
Ensure all systems have current and accurate insurance information listed.
File third-party insurance, drug card, and Medicare claims daily for assigned accounts and serve as backup for other accounts as needed.
Review EOBs and code payments received daily.
Handle any remaining balance by filing claims to co-pay assistance, and creating patient statements or write offs as needed.
Research and solve any payment discrepancies.
Process correspondence and follow-up related to assigned accounts and provide backup duties for other accounts as needed.
Work with Payer Relations Account Manager to research denied and improperly processed claims by contacting payers to ensure proper processing of said claims.
Maintain denial reports and coordinate appeals ensuring that all notes are properly documented.
Coordinate with Finance Accounts Payable with research for the coded payments for the different payers.
In collaboration with Payer Relations Account Manager, research and respond to recoupments from Payers
Ensure all assigned accounts are resolved timely and effectively in compliance with the payer agreement.
Identify and attempt to resolve any issue preventing or slowing reimbursement.
Stay updated on all third-party billing requirements and changes.
Gather documentation and generate refund letters to insurance companies and Medicare, and work with finance to reconcile clients??? accounts.
Send Client Assistance Program (CAP) letters to clients if they have a balance on their account.
Maintain current A/R notes and all required documentation.

Working hours: 8:00 AM - 5:00 PM

Skills:
Team player who brings initiative, positivity and creativity to the table

Education:
Associate

Experience:
1-4 years

Qualifications:
Medical billing and coding certification preferred
At least 3 years??? experience in billing and collecting healthcare claims
Familiarity with on-line billing software and ability to learn new software programs
Proficient in Microsoft Office Suite applications
Be able to demonstrate high proficiency in Microsoft Excel
Ability to work independently on assigned tasks as well as to accept direction on given assignments and work collaboratively with team members.
Strong time management skills with demonstrated ability to meet deadlines and handle multiple priorities
Must be accurate and thorough???monitoring own work to check for errors.
Ability to maintain confidentiality


Apply today

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including health, and an incentive and recognition program (all benefits are based on eligibility).

Show lessShow more The Revenue Cycle Coordinator (RCC) is responsible for managing clients' accounts through the entire revenue cycle process surrounding the dispensation and reimbursement of medications to treat people with bleeding disorders. The RCC is assigned specific third-party payers and works with designated Payer Relations Account Managers to optimize reimbursement. It is the responsibility of the RCC to follow and track the claim from creation of an order, through complete account reconciliation, taking the necessary steps to ensure payment. This is an onsite position and is not eligible to work remotely.

Responsibilities:
Maintain a positive work atmosphere by acting and communicating in a manner so that you work productively, effectively, and efficiently with customers, clients, co-workers, volunteers, and management.
Essential Functions:
Coordinate all insurance eligibility verifications for pharmacy clients.
Proactively obtain prior authorization for all prescribed products.
Ensure all systems have current and accurate insurance information listed.
File third-party insurance, drug card, and Medicare claims daily for assigned accounts and serve as backup for other accounts as needed. ... Review EOBs and code payments received daily.
Handle any remaining balance by filing claims to co-pay assistance, and creating patient statements or write offs as needed.
Research and solve any payment discrepancies.
Process correspondence and follow-up related to assigned accounts and provide backup duties for other accounts as needed.
Work with Payer Relations Account Manager to research denied and improperly processed claims by contacting payers to ensure proper processing of said claims.
Maintain denial reports and coordinate appeals ensuring that all notes are properly documented.
Coordinate with Finance Accounts Payable with research for the coded payments for the different payers.
In collaboration with Payer Relations Account Manager, research and respond to recoupments from Payers
Ensure all assigned accounts are resolved timely and effectively in compliance with the payer agreement.
Identify and attempt to resolve any issue preventing or slowing reimbursement.
Stay updated on all third-party billing requirements and changes.
Gather documentation and generate refund letters to insurance companies and Medicare, and work with finance to reconcile clients??? accounts.
Send Client Assistance Program (CAP) letters to clients if they have a balance on their account.
Maintain current A/R notes and all required documentation.

Working hours: 8:00 AM - 5:00 PM

Skills:
Team player who brings initiative, positivity and creativity to the table

Education:
Associate

Experience:
1-4 years

Qualifications:
Medical billing and coding certification preferred
At least 3 years??? experience in billing and collecting healthcare claims
Familiarity with on-line billing software and ability to learn new software programs
Proficient in Microsoft Office Suite applications
Be able to demonstrate high proficiency in Microsoft Excel
Ability to work independently on assigned tasks as well as to accept direction on given assignments and work collaboratively with team members.
Strong time management skills with demonstrated ability to meet deadlines and handle multiple priorities
Must be accurate and thorough???monitoring own work to check for errors.
Ability to maintain confidentiality


Apply today

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including health, and an incentive and recognition program (all benefits are based on eligibility).

Show lessShow morekey responsibilities

Maintain a positive work atmosphere by acting and communicating in a manner so that you work productively, effectively, and efficiently with customers, clients, co-workers, volunteers, and management.Essential Functions:Coordinate all insurance eligibility verifications for pharmacy clients.Proactively obtain prior authorization for all prescribed products.Ensure all systems have current and accurate insurance information listed.File third-party insurance, drug card, and Medicare claims daily for assigned accounts and serve as backup for other accounts as needed.Review EOBs and code payments received daily.Handle any remaining balance by filing claims to co-pay assistance, and creating patient statements or write offs as needed.Research and solve any payment discrepancies.Process correspondence and follow-up related to assigned accounts and provide backup duties for other accounts as needed.Work with Payer Relations Account Manager to research denied and improperly processed claims by contacting payers to ensure proper processing of said claims.Maintain denial reports and coordinate appeals ensuring that all notes are properly documented.Coordinate with Finance Accounts Payable with research for the coded payments for the different payers.In collaboration with Payer Relations Account Manager, research and respond to recoupments from PayersEnsure all assigned accounts are resolved timely and effectively in compliance with the payer agreement.Identify and attempt to resolve any issue preventing or slowing reimbursement.Stay updated on all third-party billing requirements and changes.Gather documentation and generate refund letters to insurance companies and Medicare, and work with finance to reconcile clients??? accounts.Send Client Assistance Program (CAP) letters to clients if they have a balance on their account.Maintain current A/R notes and all required documentation.

experience

1-4 years

skills

Team player who brings initiative, positivity and creativity to the table

qualifications

Medical billing and coding certification preferredAt least 3 years??? experience in billing and collecting healthcare claimsFamiliarity with on-line billing software and ability to learn new software programsProficient in Microsoft Office Suite applicationsBe able to demonstrate high proficiency in Microsoft ExcelAbility to work independently on assigned tasks as well as to accept direction on given assignments and work collaboratively with team members.Strong time management skills with demonstrated ability to meet deadlines and handle multiple prioritiesMust be accurate and thorough???monitoring own work to check for errors.Ability to maintain confidentiality

education

Associate

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