Aledade seeks a Project Coordinator to support the operations of several CMMI programs and strives to deliver the highest of customer service standards. In this role, the project coordinator is responsible for ensuring timely payment processing of adjudicated claims received from CMS and incentive payments. The individual in this role is expected to be a subject matter expert in revenue cycle functions, the claims submission process.
Core duties include processing payments, maintaining organized record, calculating bill totals, and providing customer service to participating practices and Aledade staff, addressing questions they may have about the claim payments. This position requires a knowledge of medical billing and coding, especially payment processing. The candidate for this role is required to have strong communication and organization skills and can collaborate with internal and external stakeholders supporting program/project scope, maintain payment schedules, and facilitate communication.
We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the US or be based from Bethesda, MD office.
Salary Range: $50,000-$59,000 base + bonus + equity
Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience.
Primary Duties
Process adjudicated claims received from CMS; identify and troubleshoot any errorsVerify all demographic information in the software to ensure accuracyCollaborate with practices, third party vendors and other team members to resolve inconsistencies and errorsSupport the validation of check runs ahead of financial disbursementsAnswer all customer inquiries on assigned accountsSupport project completion while balancing multiple, simultaneous prioritiesParticipate in system testing post upgrades and rate change updates,
Minimum Qualifications
Strong background in accounts receivable and an understanding of Medicare billingKnowledge of CPT, ICD-10, and HCPC level 11 coding guidelinesAbility to navigate healthcare industry rules and regulations, including HIPAA, False Claims Act, Fair Debt Collections Act and Stark LawExperience with ambulatory practice billing processes and operationsClose attention to detailsProficiency in the billing and coding processesAbility to manage time with little to no supervisionExcellent problem-solving skills and managing projects/multiple priorities,
Preferred KSA's
Excellent verbal and written communication skillsExcellent organizational skills7+ year billing and coding experienceExperience with Salesforce, Monday.com, Jira, and TableauProficient with Google SuiteMinimum Education : High school diploma; Bachelor’ degree in health-related services preferredLicensure Certified Professional Coder (CPC), Certified Professional Biller (CPB) or comparable credential,
Physical Requirements
Ability to travel up to 5% of the time, as needed