Job Summary:

The Revenue Cycle Coordinator III is responsible for providing oversight in the research and resolution of member related eligibility and billing complaints from internal customers and governing entities.

Essential Functions:

• Utilize key accounts receivable and reporting experience and knowledge to ensure timely and accurate recording and reporting of accounts receivable activity
• Provide support to Revenue Cycle Specialists in the research and resolution of member complaints
• Serve as a subject matter expert (SME) for eligibility and billing processes and procedures
• Ensure full resolution of consumer complaint cases submitted by governing entities within regulatory timeframes and defined requirements
• Complete and thoroughly document all issues
• Identify irregular trends; work with other areas as appropriate to identify root causes and take appropriate steps for resolution
• De...