Role Description

The RCM Coordinator operates under the guidance of the RCM Manager. The ideal candidate will possess exceptional attention to detail, uphold the highest standards of customer service, demonstrate strong written and verbal communication skills, and have proficiency in revenue cycle management.

Core Values:

• Teamwork
• Integrity
• Attention to detail
• Continuous Improvement
• Patient Focus

Lumio Dental is enthusiastic about elevating our patients' dental experience while creating a cohesive and enjoyable working environment. Employees at Lumio Dental agree to:

• Be patient and understanding
• Function as a pleasant and welcoming presence in the office
• Communicate effectively with doctors and as a team
• Respect patients by recognizing their rights and keeping confidentiality
• Be collaborators ready to aid where needed

Job Specific Expectations:

• Claims Processing: Accurately review and submit claims to payers in a timely manner, ensuring adherence to payer guidelines and minimizing denials.
• Denial Management: Identify, track, and address claim denials by working closely with the RCM Manager to resolve issues and resubmit claims as needed.
• Payment Posting and Reconciliation: Assist in the accurate posting of payments and reconciliation of accounts, ensuring that all payments are allocated correctly and any discrepancies are resolved.
• Patient Account Management: Handle patient billing inquiries and resolve issues related to patient balances by partnering with the office coordinators, identifying accurate payment posting and other account discrepancies while maintaining an elevated level of customer service.
• Compliance and Regulatory Adherence: Stay informed of and comply with relevant federal, state, and payer-specific regulations to ensure revenue cycle processes meet all compliance standards.
• Coordination with Other Departments: Collaborate with clinical front office and billing team to ensure accurate coding, billing, and account management as well as timely follow-up on outstanding claims.
• Training and Development: Participate in ongoing training to remain current with changes in payer policies, coding practices, and revenue cycle management trends.
• Process Improvement: Continuously identify areas of process improvement and collaborate with the RCM Manager to implement changes that enhance efficiency and revenue capture.
• Documentation and Record Keeping: Maintain accurate and up-to-date documentation of claims payment denials and appeals for auditing and compliance purposes.

Qualifications

• High school diploma or GED needed; an associate or bachelor's degree in health administration, business, or related field is preferred.
• 1-2 years of revenue cycle management, medical billing, or health care administration experience.
• Experience with claims submission, denial management, and payment posting is required.
• Proficient with Microsoft Excel and general EHR, the insurance processes, dental claim forms, and pay regulations.
• Basic understanding of dental terminology.
• Diligence to detail, highly organized, and efficient.
• Effective communication skills.
• Must have adequate vision to work with computer and patient information.

Requirements

• This written job description may not cover all job functions related to an RCM Coordinator; therefore, employees will be expected to perform within reason of additional duties assigned that are not listed in this job description when requested by management.

Company Description

• Lumio Dental is an EEO Employer, participating in the E-Verify program.