Position Summary

The Revenue Cycle Coordinator is responsible for overseeing and executing advanced billing and collections processes to ensure timely reimbursement and resolution of outstanding claims. This role requires in-depth knowledge of payer guidelines, denial management, and AR follow-up strategies. The ideal candidate will have knowledge of the full revenue cycle including front-end, mid-cycle, and back-end functions, and will support reconciliation, vendor coordination, and legacy AR initiatives.

Key Responsibilities

• Serve as a liaison for vendors and providers to address billing, payment, and operational issues 
• Perform Time of Service (TOS) bank reconciliation and assist with end-of-day (EOD) balancing processes 
• Review credit balances to ensure no errors in overpayments or underpayments, and timely processing
• Lead unapplied payment reviews, moving money as appropriate, or initiating a refund back to the patient 
• Assist with work down of claim inventory in legacy systems, ensuring timely resolution and clean-up of aged AR 
• Conduct payer policy research to support claim resolution, appeals, and process improvements
• Manage and resolve escalated patient billing inquiries, ensuring timely and accurate resolution
• Support special projects and ad hoc reporting as assigned, including investigating and resolving complex billing issues, including denials, rejections, and payer discrepancies 
• Submit corrected claims, appeals, and reconsiderations with appropriate documentation as requested or as associated with assigned special projects.
• Work closely with vendors to resolve complex billing issues
• Identify patterns in denials and collaborate with internal teams (coding, front desk, authorizations) to prevent future issues 
• Ensure compliance with payer regulations, billing guidelines, and company policies 

Qualifications

• High school diploma or equivalent required; associate or bachelor’s degree preferred 
• 3–5+ years of medical billing and AR follow-up experience (specialty experience preferred, if applicable) 
• Strong knowledge of CPT, ICD-10, and HCPCS coding (coding certification a plus) 
• Experience working with multiple payer types including Medicare, Medicaid, and commercial insurance 
• Exposure to payment posting and charge entry 
• Proficiency in EHR/PM systems (e.g., eClinicalWorks, NextGen, Athena, etc.) 
• Strong understanding of denial codes (CARC/RARC) and appeals processes 
• Intermediate Excel including creating pivot tables 

Key Competencies

• Detail-oriented with strong organizational skills 
• Critical thinking and root cause analysis 
• Effective communication with internal and external stakeholders (vendors, providers, payers) 
• Forward-thinking with a proactive approach to process improvement 

Performance Metrics

• AR days and aging benchmarks 
• Denial resolution rate 
• Clean claim rate improvement 
• Timely filing compliance 
• Appeals success rate 
• Accuracy of TOS and EOD reconciliation processes 
• Legacy AR reduction and inventory resolution 

Work Environment

• Local candidates only 
• May require extended screen time and high-volume data entry.

*StrideCare is an Equal Opportunity Employer and is committed to diversity and inclusion in our workforce. We encourage applications from candidates of all backgrounds and experiences.