RCM Coordinator – Billing & Payor Relations

* Prepare and submit clean claims to government and commercial payors for all service lines.* Monitor claim status and follow up on unpaid or rejected claims to ensure timely resolution.* Analyze and resolve denials, rejections, and underpayments by coordinating with internal departments and payors.* Ensure proper coding, documentation, and authorization are in place prior to claim submission.* Maintain up-to-date knowledge of payer guidelines, billing regulations, and reimbursement policies.* Track and report denial trends, identify root causes, and recommend process improvements.* Document all billing activities, correspondence, and resolution steps in the billing system.* Provide regular reporting to management on claim performance and payer behavior.* Collaborate with RCM team members to ensure revenue integrity and compliance.* Performs other duties as assigned.* Basic math skills required.* Ability to work with reports and numbers & Ability to calculate moderately complex figures and amounts to accurately report activities and budgets.* Ability to apply common sense understanding to carry out simple one or two-step instructions.* Strong reasoning and problem-solving skills with the ability to make informed decisions in a dynamic and client-centered environment.* Use computer, printer, and software programs necessary to the position (i.e., Word, Excel, Outlook, and PowerPoint).* Ability to utilize Internet for resources.* Medical/Dental/Vision* Paid Time Off* Paid Holidays* Employee Assistance Program* Retirement Plan, including employer matching* Health Savings Account, including employer matching* Professional Development allowance up to $2000 per year* Bilingual Stipend – 6% of the base salary* Many other benefits #J-18808-Ljbffr