Revenue Cycle Billing Coordinator; Operational Workflows Professional Billing

Revenue Cycle Billing Coordinator (Operational Workflows for Professional Billing) page is loaded## Revenue Cycle Billing Coordinator (Operational Workflows for Professional Billing) remote type:
Remote locations:
Nashville, TNtime type:
Full time posted on:
Posted Todayjob requisition :
R-51858
** Discover Vanderbilt University Medical Center**:  Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated.

It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.
** Organization:
** PB Billing and Claims
*
* Job Summary:

** The Revenue Cycle Billing Coordinator is responsible for evaluating and managing revenue cycle operations to ensure effective and compliant billing and reimbursement processes. This role designs, executes, and implements billing procedures, oversees program development, and supports continuous improvement initiatives that impact a significant segment of the organization..

KEY RESPONSIBILITIES
* Assist with designing, planning, and implementing billing procedures and systems to support new and existing services.
* Provide training and ongoing guidance to staff involved in billing and revenue cycle functions.
* Promote program growth and scalability to support organizational expansion.
* Handles claim processing, including payments, adjustments, refunds, denials, and outstanding balances from both patients and insurers.
* Acts as a point of contact between insurance providers, third-party payers, and administrative staff.
* Evaluates financial data to detect, reconcile, and resolve trends that lead to incorrect or missing reimbursements.
* Conducts comprehensive account audits and manages other complex tasks and projects.
* Performs additional duties as assigned, in accordance with the general scope of the role.

TECHNICAL CAPABILITIES
* Revenue Cycle (Intermediate):
Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.
* Problem Solving (Intermediate):
Uses critical thinking and process improvement, identifies root causes, creates future state, coaches and mentors, development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.
* Communication of Results (Intermediate):
Communicates results and recommendations to customers in a concise and non-technical format. Clearly states implications and potential next steps. Presents analysis, ideas, and findings using the appropriate data visualization and presentation tools [such as Word, Excel, Tableau, and PowerPoint].
* Quality Assurance (Novice):
Understands the goal of increasing organizational productivity and individual performance by making the products and services within your work assignments more efficient and more effective.
* Regulatory Compliance (Intermediate):
Demonstrates knowledge of the appropriate rules and regulations and apply them in difficult, stressful and complex situations. Able to interpret and explain rules and regulations that are ambiguous or unclear. Directs others in interpreting rules and regulations on the job and trains others in them.
* Business Results (Intermediate):
Ability to achieve business results while focusing on quality, customer satisfaction, and stewardship.

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we…