About the Role:

The Clinic Revenue Cycle Coordinator plays a critical role in managing and optimizing the financial processes associated with patient care services within a clinical setting. This position is responsible for overseeing the entire revenue cycle, from patient registration and insurance verification to billing, coding, and collections, ensuring accuracy and compliance with healthcare regulations. The coordinator collaborates closely with clinical staff, billing departments, and insurance companies to streamline workflows and resolve any discrepancies that may impact revenue. By analyzing financial data and identifying areas for improvement, the coordinator helps maximize revenue capture and reduce claim denials. Ultimately, this role ensures the financial health of the clinic by maintaining efficient revenue cycle operations and supporting patient satisfaction through transparent billing practices.

Minimum Qualifications:

• Minimum of 1-3 years of experience in healthcare revenue cycle management or medical billing.
• Strong knowledge of medical billing, coding (CPT, ICD-10), and insurance claim processes.
• Familiarity with healthcare regulations such as HIPAA and payer-specific billing requirements.
• Proficiency with electronic health record (EHR) systems and revenue cycle management software.

Preferred Qualifications:

• Experience working in a multi-specialty clinic or hospital outpatient setting.
• Advanced skills in data analysis and reporting tools such as Excel or business intelligence software.
• Strong project management experience related to process improvement initiatives.
• Excellent communication skills with experience in patient financial counseling.

Responsibilities:

• Coordinate with clinical and administrative staff to ensure proper documentation and coding of services rendered.
• Oversee billing and claims submission, monitor claim status, and follow up on denials or rejections to expedite payment.
• Analyze revenue cycle metrics and generate reports to identify trends, inefficiencies, and opportunities for process improvement.
• Ensure compliance with federal, state, and payer-specific regulations related to healthcare billing and reimbursement.
• Train and support staff on revenue cycle procedures and best practices to maintain high standards of accuracy and efficiency.
• Serve as a liaison between the clinic, patients, and insurance providers to resolve billing inquiries and disputes.

Skills:

The required skills enable the coordinator to accurately process and manage patient billing information, ensuring compliance and timely reimbursement. Proficiency in medical coding and billing software is essential for daily tasks such as claims submission and denial management. Strong analytical skills are used to interpret revenue cycle data, identify bottlenecks, and implement solutions that improve financial performance. Communication skills facilitate effective collaboration with clinical teams, insurance providers, and patients to resolve issues and clarify billing concerns. Preferred skills such as certification and advanced data analysis enhance the coordinator’s ability to lead process improvements and provide expert guidance within the revenue cycle function.