La Clinica del Pueblo
Job Title
Revenue Cycle Coordinator
Department Finance
Supervisor Patient Revenue Manager
Location Hyattsville, MD
Classification Salary / Exempt
Base Pay Range $60,000.00/yr - $70,000.00/yr
Synopsis Under the supervision of the Patient Revenue Manager, the Revenue Cycle Coordinator prepares and submits timely and accurate insurance claims to third‑party payers using eClinicalWorks (eCW), verifies and posts payments and adjustments, manages aging reports, and follows up on denied or underpaid claims. The Coordinator also assists with payer enrollments for all providers, ensures credentialing documentation is complete and submitted in a timely manner, and maintains compliance with FQHC and payer‑specific requirements.
Required Qualifications
High school diploma or equivalent
Understanding of payer EOBs/Remits
Strong computer skills including Microsoft Word and Excel
Minimum of 2–3 years of experience using ICD‑10, HCPCS, CPT, medical coding and billing
Minimum of 2–3 years of experience in a revenue cycle billing position (experience with medical billing, patient registration, or insurance verification)
Experience using electronic medical records (EMR); eCW preferred
Excellent oral, written, and telephone communication
Working knowledge of rules and regulations pertaining to the FQHC guidelines
Ability to prioritize and manage multiple tasks with efficiency in dealing with multiple facilities, departments and programs
Ability to handle a large volume of project receiving, submitting and researching claims
Ability to work independently with minimum supervision in a team‑oriented environment and interrelates well with individuals with diverse ethnic and cultural backgrounds and needs
Preferred Qualifications
eCW experience preferred
Registration/intake experience preferred
Payer enrollment experience preferred
Knowledge of medical terminology and practices
Duties and Responsibilities
Prepares and submits clean claims to various insurance companies either electronically or paper
Reviews and posts denials to accounts according to the EOB to ensure accurate payment status and account activity
Reviews and assigns claims that need provider attention via jellybeans in eCW to appropriate staff
Prepares bank reconciliation log daily to report incoming insurance checks/deposits
Monitors aging reports and takes necessary actions to guarantee payments of claims
Reviews accounts daily and makes phone calls or checks insurance portals to assigned insurance groups for insurance follow‑up to determine claim adjudication
Assures compliance with applicable billing laws and regulations to maximize cash receipts
Contacts insurance carriers regarding non‑payments and/or improper payment on claims
Identifies problem accounts with payers; investigates and corrects errors
Follows‑up on missing account information and resolves past‑due accounts
Prepares reports to identify and resolve accounts receivable
Helps with year‑end reports such as patient revenue reports, adjustments, aging report, charity care, etc
Posts patient payments to accounts and applies payment to claims
Posts ERA payments, adjustments, and write‑offs to appropriate accounts
Prepares, reviews, and sends patient statements
Reviews telephone encounters assigned for patient account follow‑up
Answers inquiries by phone regarding past‑due accounts and insurance guidelines
Transfers bills to secondary or tertiary accounts, if applicable
Makes adjustments to either patient or practice accounts based on internal reports and/or documentation
Responsible for reading and understanding various types of Explanation of Benefits
Keeps supervisor informed of areas of concern and problems identified
Assists in the preparation of monthly reports to ensure accuracy and timely processing of claims billed through the EMR
Prepares and distributes monthly Unlocked Encounters Report to ensure all visits are locked and ready to bill for the month
Assists with preparing and submitting provider enrollment and revalidation applications to commercial and government payers (e.g., Medicare, Medicaid, MCOs)
Assists with enrollment application status and follow‑up with payers to ensure timely processing
Assists with maintaining accurate and current enrollment records, rosters, and CAQH profiles
Assists with updating and maintaining provider and organizational information in payer portals and directories
Maintains strict confidentiality regarding confidential conversations, documents, and files
Participates in educational activities and attends monthly staff meetings
Adheres to all HIPAA guidelines/regulations
Perform other related duties as assigned
Physical Requirements
Prolonged periods of sitting at a desk and working on a computer
Must be able to lift up to 15 pounds at times
Supervisory Responsibilities None
Seniority Level Entry level
Employment Type Full‑time
Job Function Accounting/Auditing and Finance
Industries Hospitals and Health Care
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Department Finance
Supervisor Patient Revenue Manager
Location Hyattsville, MD
Classification Salary / Exempt
Base Pay Range $60,000.00/yr - $70,000.00/yr
Synopsis Under the supervision of the Patient Revenue Manager, the Revenue Cycle Coordinator prepares and submits timely and accurate insurance claims to third‑party payers using eClinicalWorks (eCW), verifies and posts payments and adjustments, manages aging reports, and follows up on denied or underpaid claims. The Coordinator also assists with payer enrollments for all providers, ensures credentialing documentation is complete and submitted in a timely manner, and maintains compliance with FQHC and payer‑specific requirements.
Required Qualifications
High school diploma or equivalent
Understanding of payer EOBs/Remits
Strong computer skills including Microsoft Word and Excel
Minimum of 2–3 years of experience using ICD‑10, HCPCS, CPT, medical coding and billing
Minimum of 2–3 years of experience in a revenue cycle billing position (experience with medical billing, patient registration, or insurance verification)
Experience using electronic medical records (EMR); eCW preferred
Excellent oral, written, and telephone communication
Working knowledge of rules and regulations pertaining to the FQHC guidelines
Ability to prioritize and manage multiple tasks with efficiency in dealing with multiple facilities, departments and programs
Ability to handle a large volume of project receiving, submitting and researching claims
Ability to work independently with minimum supervision in a team‑oriented environment and interrelates well with individuals with diverse ethnic and cultural backgrounds and needs
Preferred Qualifications
eCW experience preferred
Registration/intake experience preferred
Payer enrollment experience preferred
Knowledge of medical terminology and practices
Duties and Responsibilities
Prepares and submits clean claims to various insurance companies either electronically or paper
Reviews and posts denials to accounts according to the EOB to ensure accurate payment status and account activity
Reviews and assigns claims that need provider attention via jellybeans in eCW to appropriate staff
Prepares bank reconciliation log daily to report incoming insurance checks/deposits
Monitors aging reports and takes necessary actions to guarantee payments of claims
Reviews accounts daily and makes phone calls or checks insurance portals to assigned insurance groups for insurance follow‑up to determine claim adjudication
Assures compliance with applicable billing laws and regulations to maximize cash receipts
Contacts insurance carriers regarding non‑payments and/or improper payment on claims
Identifies problem accounts with payers; investigates and corrects errors
Follows‑up on missing account information and resolves past‑due accounts
Prepares reports to identify and resolve accounts receivable
Helps with year‑end reports such as patient revenue reports, adjustments, aging report, charity care, etc
Posts patient payments to accounts and applies payment to claims
Posts ERA payments, adjustments, and write‑offs to appropriate accounts
Prepares, reviews, and sends patient statements
Reviews telephone encounters assigned for patient account follow‑up
Answers inquiries by phone regarding past‑due accounts and insurance guidelines
Transfers bills to secondary or tertiary accounts, if applicable
Makes adjustments to either patient or practice accounts based on internal reports and/or documentation
Responsible for reading and understanding various types of Explanation of Benefits
Keeps supervisor informed of areas of concern and problems identified
Assists in the preparation of monthly reports to ensure accuracy and timely processing of claims billed through the EMR
Prepares and distributes monthly Unlocked Encounters Report to ensure all visits are locked and ready to bill for the month
Assists with preparing and submitting provider enrollment and revalidation applications to commercial and government payers (e.g., Medicare, Medicaid, MCOs)
Assists with enrollment application status and follow‑up with payers to ensure timely processing
Assists with maintaining accurate and current enrollment records, rosters, and CAQH profiles
Assists with updating and maintaining provider and organizational information in payer portals and directories
Maintains strict confidentiality regarding confidential conversations, documents, and files
Participates in educational activities and attends monthly staff meetings
Adheres to all HIPAA guidelines/regulations
Perform other related duties as assigned
Physical Requirements
Prolonged periods of sitting at a desk and working on a computer
Must be able to lift up to 15 pounds at times
Supervisory Responsibilities None
Seniority Level Entry level
Employment Type Full‑time
Job Function Accounting/Auditing and Finance
Industries Hospitals and Health Care
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