Revenue Cycle Coordinator (Dental)
Oakland, CA
Fiscal Department – Fiscal /
Full-time /
On-site
Asian Health Services, founded in 1974, provides health, social, and advocacy services for all regardless of income, insurance status, immigration status, language, or culture. Our approach to wellbeing focuses on “whole patient health,” which is why we provide more than primary care services, including mental health, case management, nutrition, and dental care to more than 50,000 patients in English and 15 languages: Korean, Lao, Burmese, Mandarin, Cantonese, Spanish, Portuguese, French, Mien, Karen, Mongolian, Karenni, Tagalog, Khmer, and Vietnamese. We offer medical, dental, and mental health services for all ages.
Under the supervision of the Revenue Cycle Managers (RCM),the Revenue Cycle Coordinator (RCC) is responsible for performing complicated billing of services and claims denial response for multiple payor sources for dental. The RCC ensures all services provided by the clinic are properly billed and paid. Under the guidance of the RCM and in partnership with the Sr. Revenue Cycle Coordinator, the RCC participate in analyzing and resolving department-wide problems, such as operational workflow issues, or EHR EPM system-related issues.
Essential Job Functions
- Responsible for Medicare advantage wrap 519 billing and Behavior Health service billing to Blue cross and Beacon Managed care.
- Manages billings to law offices for workers comp and vehicle injury services.
- Provides specialized billings for Dental services, transferring data from Dentrix EPM systems into OCHIN/EPIC, resolve issues related to denials.
- Works in close partnership with the Sr. Revenue Cycle Coordinator to identify and resolve billing issues and denials.
- Performs complicated postings of payments for services into OCHIN/EPIC
- Monitors and tracks patients’ accounts receivable aging reports.
- Makes necessary adjustments for outstanding balances to resubmit claims, and/or recommend write-off to RCM.
- Sends out monthly patient statements.
- Review and complete the monthly patient account receivable adjustments.
- Monitoring patient aging balance and set up patients with “COLLECTION status” as determined by current policy and guidelines.
- Communicates issues with the electronic billing and payment posting system to Supervisor, Manager, and or IT/IS department.
- Keeps updated on new information related to Medi-Cal/Medicare, Managed Care, another third- party billing.
- Coordinating with there to the Billing staff who are running the BBP reports.
- Assisting the RCM with other duties when appropriate and as requested.
General Agency/AHS Duties
- Fosters an environment that promotes trust and cooperation among clients and staff.
- Enforces clinic policies and procedures, including maintenance of client confidentiality under HIPAA privacy rules, to ensure that the principles of AHS are implemented.
- Plays an active role in planning organization-wide activities such as AHS general membership meetings, fundraisers, special clinic days, and other events.
- Participates in general membership meetings, fundraisers, and other public events, as required.
- Participates in outreach activities, agency advocacy, and serves on ad hoc committees, as requested.
- Attends AHS staff retreats and Board of Directors meetings, as required.
- Participates in agency-wide quality improvement program processes and performance improvement teams to ensure excellence in the quality of services provided across the agency.
Minimum Qualifications
- Associates degree from an accredited college or university
- 2 years of medical and/or dental billing experience or any equivalent combination of education and experience
- Experience resolving billing issues with insurance companies
- Experience using EPM/EHR software
Preferred Qualifications
- Experience with OCHIN/EPID EPM/EHR software
- Experience with FQHC/Managed care billing
- General knowledge of accounting principles
- Ability to report data using any query language or report generator
- Experience with OCHIN/EPID EPM/EHR software
- Experience with FQHC/Managed care billing
- General knowledge of accounting principles
Knowledge, Skills & Abilities
- Proficiency with Microsoft Office applications, with intermediate to advanced level competency in Excel and PowerPoint.
- Ability to work collaboratively with other AHS supervisors and managers with a focus on customer service and quality of care, exemplifying the core values and mission of the organization, always exercising utmost discretion, diplomacy and tact inpatient/staff interactions.
- Knowledge of Medi-Cal, Medicare, and private insurance regulations and billing practices
- Knowledge of laws and regulations governing collection procedures
- Ability to read, interpret, and explain laws and regulations related to billing and collections.
- Ability to gather, assemble, analyze, and evaluate facts, draw logical conclusions, and make appropriate recommendations.
- Ability to effectively communicate with the patient population and staff while demonstrating a high degree of diplomacy and tact.
- Basic working knowledge of medical terminology.
- Ability to exercise initiative, judgment, discretion, and decision-making to achieve organizational objectives Effective supervisory skills to oversee direct reports and delegate responsibility and authority to staff
- Demonstrated attention to detail and well-organized.
- Ability to multi-task, prioritize, and meet deadlines.
- Strong written and verbal communication skills.
- Advanced financial accounting analysis and reporting skills.
- Knowledge of budgeting and preparing financial reports.
- Proficiency with Microsoft Office applications.
$34.29 - $35.50 an hour
BENEFITS:
Medical, Dental, Vision premiums 100% paid by AHS
12 Vacation Days
12 Sick Days
13 Holidays and 3 Floating Holidays
3% 403B Employer Contributions and up to 2% Employee Match Contribution
Transportation Benefit Paid by AHS
FSA/Dependent Care Assistance
Long Term Disability
