At DAP Health, we are committed to transforming lives and advancing health equity for all. As a leading nonprofit health care provider, we deliver compassionate, high-quality care to the diverse communities of the Coachella Valley and San Diego County. Our comprehensive services range from primary care to mental health, wellness programs, and beyond, with a focus on those who are most vulnerable. Joining our team means becoming part of a passionate, innovative organization dedicated to making a meaningful impact in the lives of those we serve. If you're looking for a dynamic and purpose-driven environment, we invite you to explore the opportunity to contribute to our mission.
Job Summary
The Revenue Cycle Coordinator supports the end-to-end revenue cycle by ensuring accurate, timely, and compliant processing of patient accounts, claims and billing activities. This role serves as a key liaison between internal departments, patients, and outsources billing partners, while actively managing work queues, resolving account issues, and supporting front-end and back–end revenue functions. The coordinator is expected to independently resolve routine issues and escalate complex or non-standard concerns as appropriate.
Supervisory Responsibilities: None
Essential Duties/Responsibilities
- Managed and prioritize assigned Epic work queues
- Support the revenue cycle process as an additional liaison between revenue cycle teamand outsourced billing team
- Research billing and collections information to third party intermediaries for services rendered or for fees or other related charges
- Perform reviews to determine and prioritize claims submission, rejection, and denials issues as seen through claims transactions/results from payers
- Review patient accounts and coverage/insurance as needed for completeness and accuracy required by county programs, government payers, and private insurance carriers for billing, filing, and payment on medical and dental claims
- Respond to requests for review status of account, account information accuracy, patient liability, arithmetical billing errors and general billing inquiries from the revenue cycle team or outsourced billing team
- Monitor and submit explanation of benefits and payment information needed for payment posting to outsourced billing team
- Follow up on payment with insurance payers and patients on outstanding accounts as needed
- Perform accurate and timely review of patient accounts in accordance with policies and procedures and in compliance with federal, state, insurance carriers, health plans, and other third-party payor requirements, as assigned
- Answer and managed incoming inquiries via the billing phone line
- Respond to billing inquiries through Epics patient messaging/MyChart messaging
- Serve as a resource for front desk and back office regarding billing related questions
- Managed and respond to request submitted through the billing helpdesk
- Ensure all data and research is secure and protected, maintaining HIPAA compliance
- Perform other duties as assigned
