Revenue Cycle Management (RCM) Coordinator

The Coordinator for the Reimbursement and Reconciliation departments will support the Director and Manager in managing team operations to ensure compliance with HIPAA privacy standards, state and local laws, accrediting agency guidelines, OSHA, Medicare/Medicaid, and private payor regulations. This role promotes adherence to corporate policies, practices, and compliance programs while enabling teams to meet production, quality, aging, and cash goals. The Team Lead will encourage increased production, be available for questions and additional coaching, and assist in the research and formulation of management reports detailing team performance and account metrics.

Major Areas of Accountability

Leadership:

• Assist with training and onboard new team members on departmental functions and responsibilities, ensuring familiarity with equipment, routines, and standards.
• Support the supervisor in monitoring team performance and adherence to departmental policies and procedures, including effective application of HIPAA and PHI regulations.
• Assist in maintaining positive employee relations within the department, encouraging proficiency and helping team members reach their potential.
• Provide exceptional service to patients, internal and external customers, and third-party payors, interacting professionally to promote effective communication.
• Adapt to stressful situations and demonstrate multi-tasking capabilities in a dynamic work environment.
• Implement constructive changes that improve work processes and team performance.

Analysis:

• Assist the team in the efficient analysis and resolution of unpaid claims and unposted cash deposits, monitoring productivity and reporting shifts to the supervisor to ensure team goals are met.
• Generate daily and monthly reports that facilitate workflow metrics and audit processes for the department, distributing to designated staff.
• Support the implementation of new technologies, tools, or system applications that enhance productivity.
• Review departmental issues impacting the team's ability to process work, conducting quality
• assurance reviews to ensure efficient methods are utilized.

Compliance and Reporting:

• Perform job responsibilities within established regulatory guidelines (HIPAA / PHI, Medicare/Medicaid, etc.) and report non-compliant activity to the appropriate parties, safeguarding patient and company confidentiality.
• Maintain knowledge of all regulatory requirements by attending in-service classes and annual HIPAA updates.
• In the absence of the Revenue Cycle Supervisor, assume responsibility for departmental issues.
• Seek opportunities to improve and promote quality processes both within and outside of the department.
• Coloplast employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
• Other duties as dictated by business conditions or management directive.

Basic Qualifications

• High School diploma required.
• A minimum of 4+ years of experience in healthcare payor and/or provider organizations with demonstrated functional knowledge in revenue cycle management and cash posting processes.
• 3+ years of DME experience required.
• Knowledge of governmental payors, medical terminology, regulatory compliance, billing codes, and understanding of EOBs/ERNs and compliance rules.
• Excellent written and verbal communication skills.
• Ability to work successfully as both an individual and a team contributor.
• Knowledge of Excel and understanding of PowerBI Apps.

At Coloplast, we believe in recognizing and rewarding the contributions of our employees. Our total rewards package is designed to support your well-being, foster your professional growth, and ensure a healthy work-life balance. Here is some of what you can expect:

• Health and Wellness: Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. Plus, access to company sponsored wellness programs and mental health resources, paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents.
• Financial Security: A competitive 401(k) plan with company match that vest immediately, financial planning services to help you secure your future, and corporate discount programs for goods and services.
• Work-Life Balance: Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available.
• Professional Development: Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
• Recognition and Rewards: Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
• Community and Culture: A supportive and inclusive work environment where everyone feels valued, and diversity is celebrated. Participate in team-building activities, volunteer opportunities, and company-sponsored events. Employee Resource Groups that support Women, Minorities, Veterans and LGBTQ+ Community. Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.
• Competitive Compensation: The starting hourly rate for this position is $30.74. Hired candidates may be eligible to receive additional compensation for applicable experience and may also be eligible for bonuses and/or incentives.  Actual compensation is influenced by a variety of factors including but not limited to skills, experience, qualifications, and geographic location.

Comfort Medical provides an extensive selection of name brand catheter and ostomy supplies to thousands of customers nationwide. Our attention to detail, unmatched customer service, and dedication to helping our customers live happier, healthier lives are just a few of the many reasons we are one of the fastest growing catheter and ostomy supply companies in the nation!​

Comfort Medical employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.

Comfort Medical is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification.

58439
#LI-CM  #LI-HYBRID