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Job description
Revenue Reimbursement CoordinatorAdventist Health Glendale is looking for Revenue Reimbursement Coordinator for Full-time, Day Shift. We are looking for a great individual who can work onsite to our location in Glendale, CA.Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Glendale is known for its urban living, with easy access to dining, entertainment, shopping, amusement parks and outdoor recreation. Adventist Health Glendale is proud to be part of the thriving, diverse community since 1905.Job Summary:Supports the Revenue Management department by performing account-level reviews, validating payer adjudication against contract terms, and preparing analytic reports to identify systemic issues, trends, and payer behaviors. Collaborates with Patient Access, Utilization Management, Case Management, Patient Financial Services, Revenue Integrity, and other Revenue Cycle pillars to support denial prevention, process improvement, payer escalations, and reimbursement optimization. Provides detailed account and trend analysis to assist the Director, Revenue Analytics in decision-making.Job Requirements:Education and Work Experience:Associate's/Technical Degree or equivalent combination of education/related experience: RequiredBachelor's Degree: PreferredFive years' hospital/medical office experience: PreferredEssential Functions:Performs account-level reviews to ensure timely and full reimbursement according to payer contracts.Validates insurance coverage, contract assignment, and authorization status for high-dollar and at-risk accounts. Identifies barriers to clean claims and timely payment; tracks and trends denials, escalating systemic issues to the Director.Supports AR Reserve analysis and identifies trends that significantly impact net patient revenues. Prepares supporting reports and documentation for payer escalations, appeals, and Joint Operating Committees.Collaborates with Clinical and Revenue Cycle leaders to correct process gaps and prevent recurring revenue leakage.Maintains a cooperative and flexible team role, assisting the department with payer escalations and revenue cycle projects as needed.Performs other job-related duties as assigned.Organizational Requirements:Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit E-Verify for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Worksite address
glendale, CA, 91206, US
Who can apply
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