Modivcare
RevenueCycleCoordinator
Neural analysis suggests this role is
optimal for Entry candidates.
“Revenue Cycle Coordinator at Modivcare. Skills: Accounts receivable, Billing, Insurance verification. Monitor and manage accounts receivable. Review and analyze outstanding accounts”
What You'll Achieve.
Ensuring timely and accurate payment for services rendered; Managing accounts receivable; Engaging in effective communication with payers, clients, and other stakeholders; Ensuring the timely collection of payments for services provided; Resolving outstanding balances; Maintain accurate billing records; Ensure accurate and complete claim submissions; Resolving any billing discrepancies or errors; Confirming eligibility, benefits, and any pre-authorization requirements; Ensuring accuracy and completeness of insurance information; Ensure billing reprocessing is identified timely; Correct errors and verify service; Ensure completed visits are eligible for billing; Ensure payment for AR related to service authorizations; Communicates to Supervisor or Manager; Reduce incorrect billing; Aid in learning and process improvement; Addressing concerns, providing explanations, and resolving disputes in a timely manner; Facilitate appropriate reimbursement; Presenting findings to the management team; Ensuring compliance with all applicable laws and regulations
Industry & Context.
Effective problem-solving and negotiation skills; Troubleshoots any problems, concerns, difficulties with the system
What They're Looking For.
Must Have
High School Diploma required, Zero (0) plus years of experience, Familiarity with insurance verification, authorization, and claims submission processes, Proficient knowledge of medical billing codes, including CPT and ICD-10, Proficiency in using electronic billing systems and software, Excellent attention to detail and accuracy, Effective problem-solving and negotiation skills, written and verbal communication skills, Ability to handle confidential and sensitive information with discretion, Exceptional organizational and time management abilities, Familiarity with HIPAA regulations and compliance
What You'll Do.
Monitor and manage accounts receivable
Review and analyze outstanding accounts
Utilize electronic billing systems
Collaborate with billing team
Verify insurance coverage
Maintain updated insurance records
Support Revenue Cycle Management team
Adapt to changing work responsibilities
Monitor rejections from portals
Provide system updates
Monitor AR related to service authorizations
Troubleshoot system problems
Follow SOX compliance
Watch for potential fraud
Audit and validate billing functions
Update and cross check billing procedure codes
Maintain and grow skillset
Provide subject matter expertise
Respond to billing inquiries
Investigate and resolve billing discrepancies
Prepare regular reports
Maintain organized documentation
Stay up to date with regulations
Adhere to privacy policies
Establish and maintain relationships
Communicate financial responsibilities
How You'll Work.
Team & Collaboration
Collaborates with the billing team; Works as a liaison between the internal billing team, Central Operations and authorizations; Establishes and maintains positive and professional relationships with clients, insurance companies, and other stakeholders
Communication Scope
written and verbal communication skills
Full Job Description
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 ensuring timely and accurate payment for services rendered, managing accounts receivable, verifying insurance coverage, and engaging in effective communication with payers, clients, and other stakeholders **This role…** * Monitors and manages accounts receivable, ensuring the timely collection of payments for services provided. * Reviews and analyzes outstanding accounts, identifying delinquent or unpaid invoices, and taking appropriate actions to resolve outstanding balances. * Utilizes electronic billing systems and software to track and update payment information, maintain accurate billing records, and generate reports as needed. * Collaborates with the billing team to ensure accurate and complete claim submissions, resolving any billing discrepancies or errors. * Verifies insurance coverage for clients, confirming eligibility, benefits, and any pre-authorization requirements. * Maintains updated records of insurance information, ensuring accuracy and completeness. * Supports the Revenue Cycle Management team with all efforts related to Revenue Cycle and billing, collections, and EVV. * Adapts to changes in work responsibilities as required with changing and shifting priorities and focus. * Monitors rejections from portals to ensure billing reprocessing is identified timely, including EVV where necessary. * Works as a liaison between the internal billing team, Central Operations and authorizations to correct errors and verify service. * Provides system updates, weekly audits and data entry support to correct errors so that the completed visits are eligible for billing. * Monitors AR related to service authorizations to ensure payment. * Troubleshoots any problems, concerns, difficulties with the system and communicates to Supervisor or Manager. * Follows SOX comp
Applying for this Revenue Cycle Coordinator role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Workday
- Workday has a multi-step form — save your progress after every section.
- "Apply With LinkedIn" can fail or lose data; manual entry is more reliable.
- Watch for the "Submit for Review" final step — hitting "Save" alone does not submit.
- Job requisition numbers are useful when following up with HR by email.
ANONYMOUS · UNFILTERED
What do employees actually say about Modivcare?
Real rants from real employees. Read before you apply.