Salary Range: $22.52 - $31.05 Pay rates are determined based on experience and internal equity. Position Summary: + Manage multiple projects including the denial process currently used at LVMC. Continually work to identify opportunities for workflow improvements. + Collaborate with Director and Manager of Revenue Cycle to set goals, measure effectiveness and productivity, and identify the need for updated policies and/or procedures. + Provide support to Revenue Cycle to ensure productivity and quality goals are met. + Gather and assemble documentation related to monthly balancing, reports and research. + Must work well under stress or tight deadlines. + Must work well with supervisors, co-workers, patients/residents, family members and visitors. District Responsibility: + Support of the District Mission and Values + Demonstrate respect, professionalism and courtesy to all patients, visitors, other providers and coworkers, as delineated in the LVMC “Commitment to Care”. + Constantly use C-I-CARE principles when communicating with others. + Performance Improvement Activities + Professional Development Position Duties/Responsibility: + Knowledge of the appeals and denials processes for Medicare, Medi-Cal, and other private health insurance. + Understanding of Insurance Billing and payments processing: EOBs, HCPCS, ICD10, CPT, and Medi-Cal crosswalk coding. + Special projects with insurance denials, data entry and analysis. + Education and implementation of new software system + Must be extremely organized and possess excellent communication, interpersonal and problem-solving skills. + Other Duties Assigned by Supervisor Essential Functions: + Work independently and also with a team. + The ability to be supervised. + The ability to work as a team member. + Multi tasks and balance multiple projects. Position Qualifications: + Education: High School diploma or equivalent. + Experience: Prefer 2+ years of experience working with commercial, Medicare, Medi-Cal and HMO insurance procedures. Working knowledge of full cycle billing and collection. + Previous office/hospital experience preferred. + Certifications: None necessary. + Skills/Ability: Excellent verbal skills required. Exhibits the ability to organize multiple assignments and follow through with accuracy. Exercise is good judgment under stress. Demonstrates initiative, emotional stability, tact and poise. + LVMC reserves the right to modify the minimum requirements depending on the needs of the organization.