Summary:

The Revenue Cycle Coordinator supports cross-departmental efforts to ensure optimal patient financial services efficient revenue cycle processes and positive patient outcomes. This position focuses on reducing denials enhancing billing accuracy and improving patient throughput to ensure consistent cash flow. The coordinator plays a critical role in achieving revenue cycle performance goals and contributing to the financial health of Brown University Health.

Responsibilities:

Operational & Technical Responsibilities

* Monitor high-dollar and aging accounts (unbilled denials follow-ups) using Epic Work Queues and SSI Clearinghouse. * Assist departments with resolving daily batch rejections via SSI Clearinghouse. * Train new users on Epic Revenue Cycle Work Queues and SSI workflows. * Ensure departments reconcile daily charges accurately. * Partner with departments to escalate unresolved revenue issues.

Interdepartmental Collaboration

* Participate in cross-functional teams involving Patient Access Services Health Information Management (HIM) Lab and other hospital-based departments. * Attend weekly Central Billing Office (CBO) meetings to review A/R activities denials billing cash posting CDM and vendor coordination. * Attend monthly Patient Access Management meetings to provide feedback and address outstanding revenue-related activities within the facilities.

Process Improvement & Compliance

* Develop and maintain departmental policies and procedures. * Drive process improvements across departments to enhance efficiency and accuracy. * Ensure compliance with internal policies and external regulations including payer-specific standards.

Customer Service & Communication

* Provide timely respectful and professional support to internal and external stakeholders. * Maintain a collaborative and solutions-oriented approach with peers and management. * Uphold the values of respect honesty fairness and customer-centered care.

Required Knowledge and Skills ls responsible for ongoing development of his/her work skills through the use of available resources (i.e.: in-services formal educational programs other work groups and on-the job training). Attends and participates in staff meetings and in-services and/or reviews documentation as required. Assists in the orientation of others and actively participates in mentoring. Performs analytical and decision-making functions with minimal supervision. Recognizes and seeks assistance/consultation when appropriate. Demonstrates an understanding of relative Brown Health and all-departmental policies and procedures including safety issues. Possesses awareness of programs/services provided by Brown Health and where they are located. Ensures compliance with relevant regulations standards and directives from regulatory agencies and third-party payers.

Other information:

PERFORMANCE STANDARDS:

Effective use of time and resources.

Active participation in quality improvement efforts.

Delivery of high-quality patient-centered services.

Fiscal responsibility and efficient resource utilization.

Implementation and support of department-wide quality initiatives.

Continuous year-over-year performance improvements.

QUALIFICATION/EDUCATION

Minimum of 5 years supervisory experience in a healthcare setting.

In-depth knowledge of healthcare billing collections and insurance claim workflows.

Experience with Epic Work Queues and SSI Clearinghouse preferred

Proficiency in Microsoft Office applications (Outlook Word Excel Access).

Familiarity with medical coding systems including CPT HCPCS and ICD-10-CM.

Preferred:

Bachelors degree in Healthcare Administration Business or related field.

Experience working in an academic health system environment.

QUALIFICATIONS/EXPERIENCE:

Strong analytical problem-solving and decision-making skills.

Excellent interpersonal and public relations abilities.

Ability to work effectively with diverse stakeholders.

Organizational and time-management proficiency.

Ability to prioritize tasks and manage competing demands.

SUPERVISION:

Reports to the Vice President of Revenue Cycle.

Supervision Exercised:

May provide guidance to junior revenue cycle staff and project teams as needed.

Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Saint Annes Hospital USA:MA:Fall River

Work Type: Full Time

Shift: Shift 1

Union: Non-Union