Job Information
Modivcare Revenue Cycle Coordinator in Valley Stream, New York
Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!
This position is responsible for billing effectively and efficiently to facilitate prompt payment for services via billing systems and developing collaborative relationships with payor’s billing departments. This role will be able to perform all of the following tasks: verifying client eligibility, monthly claim/invoice submissions, resubmissions or back billing, resolve denied or rejected claims, including researching accounts, analyzing EOBs, and interacting with insurance companies and government payors.
You will...
Utilize the phone system application by logging in and setting a status of ready to manage incoming phone calls by responding to request and assisting with inquiries.
Access multiple web portals to identify and research eligibility, collect needed information to ensure timely processing of electronic, portal and invoiced claims.
Follow revenue cycle from charge creation through resolution of outstanding AR.
Verify eligibility when required prior to billing payers and documents insurance verification.
Assume responsibility for timely and accurate invoices submission, including generating monthly charges and transmission of EDI claims and invoices
Investigate and resolves claim rejections and denials via Clearinghouse or payer portals.
Utilize payer portals or contact payers as needed for claim corrections and/or missing information.
Add and understands specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-10 coding.
Apply corrections to patient demographics, charges, adjustments and payments or when needed forwards to the appropriate department for correction.
Work through reporting cards and tickets assigned through company applications.
Work rejection and denial workgroups for timely review and resubmission of EDI claims.
Resolve problems by clarifying issues, researching potential solutions, helping to implement changes to maximize timely and complete reimbursement, and escalating unresolved issues.
Utilize multiple system applications daily to work through assigned inventory
Identify and document any payer issues and communicate with RCM leadership.
Maintain KPI and quality goals.
Perform resubmission projects and additional daily reports.
Participate in other projects or duties as assigned.
Occasional business travel may be required.
We are excited to speak to someone with the following...
High School Diploma required.
One (1) plus years of experience in healthcare revenue cycle management or a related field.
Or equivalent combination of education and/or experience.
Knowledge of portal, invoice, and EDI billing methods.
Experience using HHAeXchange preferred.
Self-motivation and the ability to work independently and with teams.
Proficient in the use of Word, Excel, Outlook, and PowerPoint.
Excellent verbal and written communication skills.
Proficient in managing multiple tasks as the same time.
Experience with Accounts Receivable follow-up process.
Attention to detail and accuracy in all tasks.
Pay: $ 16.36/hr - $22.09/hr
Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings.
We value our team members and realize the importance of benefits for you and your family.
Modivcare offers a comprehensive benefits package to include the following:
Medical, Dental, and Vision insurance
Employer Paid Basic Life Insurance and AD&D
Voluntary Life Insurance (Employee/Spouse/Child)
Health Care and Dependent Care Flexible Spending Accounts
Pre-Tax and Post --Tax Commuter and Parking Benefits
401(k) Retirement Savings Plan with Company Match
Paid Time Off
Paid Parental Leave
Short-Term and Long-Term Disability
Tuition Reimbursement
Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)
Modivcare is an Equal Opportunity Employer.
EEO is The Law - click here for more information (https://www.eeoc.gov/laws-guidance)
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at hr.recruiting@modivcare.com
Due to system issues, if you are unable to search for your application, please reach out to the Talent Acquisition team via email at hr.recruiting@modivcare.com and a member of the Talent Acquisition team will reach out to you within the next 48 business hours. We appreciate your interest in joining Modivcare!
Our goal isn’t a number. It’s a difference.
Modivcare is leading the transformation to better connect people with care, wherever they are. We serve the most underserved by facilitating non-emergency medical transportation (https://www.modivcare.com/offerings/nemt) and personal and home care (https://www.modivcare.com/offerings/personal-care) to enable greater access to care, reduce costs and improve outcomes.
Please note, Modivcare will never ask any potential applicant for employment for any Personal Identifiable Information via social media. Additionally, Modivcare will never ask any applicant for money. Please be cautious of any individual posing as a recruiter for Modivcare requesting personal identifiable information. If you suspect someone is attempting to collect your personal information or solicits money from you via any social media platform, we encourage you to report such scammers to that platform.
Not finding the right fit? Let us know you're interested in a future opportunity by clicking Get Started below or create an account by clicking 'Sign In' at the top of the page to set up email alerts as new job postings become available that meet your interest!
