At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations (https://www.virtua.org/locations) , we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Location:

Lippincott - 303 Lippincott Drive

Employment Type:

Employee

Employment Classification:

Regular

Time Type:

Full time

Work Shift:

1st Shift (United States of America)

Total Weekly Hours:

40

Additional Locations:

Job Information:

Job Summary:

The Ambulatory Surgical Center Revenue Cycle Coordinator is responsible in-depth revenue cycle practices and manages the ASC Joint Ventures communication of Managed Care contract rates and related terms for revenue cycle and billing practices impacting the centers. Analyzes payer data to identify trends, payer payment discrepancies, and internal errors. Serves as the technical revenue cycle resource for ASCs by providing education identifying process improvement opportunities.

Position Responsibilities:

Works with ASC colleagues to ensure the ongoing coordinated consistency of the rate matrix, charge master and fee schedules, including accurate descriptions, coding, additions, deletions, pricing, and any other changes are accuracy loaded into the Centers’ Patient Accounting Systems.

Provide technical support to ASC Joint Venture management in the revenue cycle management process and distribute reports as appropriate to identify potential areas for process improvement.

Perform monthly reviews of business office processes and provide guidance to ensure Center processes are optimal or identify areas that need process improvement and provide guidance on how to improve them. Responsible for reading, interpreting, and distributing of payer newsletters, policy updates, and protocols to all ASCs ensuring revenue cycle remains current and compliant. Responsible for ensuring Centers are compliant with Virtua issued policies and procedures and conduct audits to ensure they are being followed.

Act as the Revenue Cycle subject matter expert and coordinate issues with ASCs for reporting problems and denials on claims. Manage researching coding issues, providing guidance, and recommending solutions to Revenue Cycle Director. Manage process improvement efforts for claim issues by providing detailed root cause analysis. Develop tools and create standards for tracking and monitoring revenue cycle processes for center-specific claims and denials. Establish and monitor key process indicators to support the ASCs success and drive improvements.

Blend technical skills with understanding of billing and process strategies with experience in resolution of revenue issues. Provide input to AVP and Director of Revenue Cycle for annual revenue planning process. Assist with additional projects as needed for Virtua ASC joint ventures.

Manages and coordinates gathering and analyzing data for Internal Audits and for Managed Care as well as perform due diligence for proposed centers. Performs Business Office Assessments to ensure compliance.

Research current revenue cycle trends and understand best practices and emerging trends to support the revenue cycle processes by accurately gather, synthesize, and communicate timely relevant information and recommendations including the regulatory issues that impact revenue cycle for ASCs.

Position Qualifications Required:

Required Experience:

3 - 5 years experience in healthcare billing. Ambulatory Surgical Center preferred

• 3+ years of hand-on billing experience

• Knowledge of patient accounting management systems, ASC preferred

• Passionate about growing business and tracking results

• In-depth knowledge of Billing Practices, accounts receivable analytics and working with insurance carriers

• Ability to work on multiple projects in a fast-paced environment

• Collaborates well with inter-disciplinary teams

• Problem-solver and detail-oriented

Required Education:

Bachelor’s degree required. 10+ years of healthcare billing may be substituted in lieu of degree.