Revenue Cycle Systems Support Coordinator

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce.

We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.

SUMMARY

The Revenue Cycle Systems Support Coordinator assists with analyzing, maintaining, and enhancing the performance of revenue cycle systems, the setup and maintenance of external payer portals, ensuring timely access and accurate configurations for the revenue cycle team.

This role supports system updates, resolves access issues, and helps streamline workflows, contributing to efficient billing and reimbursement processes.

The ideal candidate is an organized and motivated individual with a foundational understanding of healthcare systems and a strong interest in revenue cycle operations.

They are comfortable learning new technologies and can follow established procedures to help set up and maintain access to external payer portals.

This person communicates well with internal teams, pays close attention to detail, and is eager to support tasks like Medicare and clearinghouse enrollments.

Essential Duties and Responsibilities include the following.

Other duties and tasks may be assigned.



* Support the setup and maintenance of external payer portal access for internal teams.


* Troubleshoot and resolve system issues in a timely manner to minimize disruptions to revenue cycle processes.


* Collaborate with direct leadership to gather and document system requirements and identify areas for improvement.


* Assist with Medicare and clearinghouse enrollment processes and documentation.


* Support payer enrollments for Clearinghouse (Eligibility, claims, remits (EOB/ERA), Payments (EFT/ACH).


* Maintain and administer access to external payer portals to ensure the revenue cycle team resources to support operational excellence.


* Assist and maintain Insurance Plan set-ups in Pearl system: payer-specific coding (HCPC, ICD-10, REV, NDC, CONDITION, VALUE, MODIFERS).


* Assist with maintaining Payer Pricing (quarterly, yearly, contractual).


* Coordinate with internal departments (e.g., Managed Care, Legal, IT) to gather information for payer-related system updates.


* Attend relevant webinars and vendor meetings to stay informed on payer system updates and requirements.


* Assist with IT on processes and special projects related to system configuration.


* Maintain confidentiality and compliance with HIPAA.


* Drive USRC Company culture through values and service standards.


* Ensure outstanding internal and external customer service.


* Proactively resolve customer service issues with timely communication and follow-up.


* Recommend process improvements to enhance workflow and productivity.


* Participates in team concepts and promote a team effort; performs duties in accordance with com...