RCM ASC Coordinator

RCM ASC Coordinator

General Job Purpose

The RCM ASC Coordinator is responsible for the coordination and oversight of RCM functions throughout MVP's standalone ASCs. The coordinator will conduct and monitor all processes and audit behavior analysis to maximize reimbursement. They are responsible for ensuring timely and appropriate completion of RCM resources, allowing for timely charge entry, claims filing, claims adjudication, and month-end close. This role will collaborate with all RCM leaders to identify and eliminate potential barriers, improving speed of cash and reducing DSO.

What You Will Be Working On

Performance

• Proactively monitor communication logs, provider queries, and email management to identify needs, trends, education, and escalation.

• Manage ASC systems to improve workflow and serve as an expert in reporting.

• Ensure timely escalation to the leaders of RCM.

• Assist with the creation of policies and procedures, tip sheets, and training materials to support staff education.

• Assist with the creation and maintenance of the automation process.

• Assist with the weekly correlation of data and updates for RCM updates (e.g., Flash and trending).

• Work with department leadership to identify reporting needs that will allow them to set, formalize, and execute strategy.

• Ensure timely escalation of identified issues to appropriate RCM and MVP leadership.

• Ensure turnaround time (TAT) for each location is within the specific metric and provide remediation plans to ensure outliers get back into compliance.

• Ensure monthly and targeted audits are completed monthly based on organizational and departmental needs.

Communication and Working Relationships

• Work cross-functionally to develop and manage an efficient and effective collection process.

• Respond to inquiries from leadership, Operations, staff, or physicians in a timely and appropriate manner.

• Share metric performance with RCM leadership to educate and create a foundation for continuous process improvement.

• Coordinate communication to assigned staff on productivity standards, quality standards, policies and procedures, as well as corporate standards.

Expertise

• Actively understand payer and regulatory trends and develop strategies with appropriate leaders to activate tactics to mitigate risks.

• Remain current with governmental, payer, and organizational policy changes applicable to all states in which services are provided.

Other

• Perform other duties as assigned.

Experience and Knowledge

• 5+ years of revenue cycle management experience.

• Ability to deal with a variety of tasks simultaneously in a fast-paced environment.

• Manage priorities while maintaining a professional demeanor.

• Demonstrate sound judgment and leadership skills.

• Excellent critical thinking skills.

Education and Skills

• High school diploma required.

• Demonstrated ability to use PCs and Microsoft Office suites, with advanced Excel capabilities.

• HST, Waystar, AllScripts, Nextech, and Payer Path preferred.

About Midwest Vision Partners

Vision is a precious gift. Midwest Vision Partners (MVP) is focused on improving and preserving it for as many patients as possible by cultivating a network of world-class ophthalmologists and optometrists who provide exceptional, patient-centered care. Midwest Vision Partners was founded in 2019 in partnership with Alpine Investors. Headquartered in Chicago, MVP proudly supports prominent eye care professionals in 70+ locations across Ohio, Michigan, Pennsylvania, West Virginia, and Illinois, with over 140 physicians and 1,500 employees, all focused on providing top-notch, customized results for each of our patients.