Program Coordinator

Overview

A leading healthcare organization is expanding its internal dialysis services and is seeking a Program Coordinator to support billing and collections operations. This position will play a key role in managing complex accounts, ensuring accurate reimbursement, and supporting overall revenue cycle performance for dialysis services.

Key Responsibilities

Billing & Claims Management

• Generate and submit claims for dialysis-related services, including hemodialysis, peritoneal dialysis, and home-based treatments
• Monitor claim status and perform follow-ups on unpaid or underpaid claims
• Handle rebilling, secondary billing, and claim corrections as needed
• Investigate and appeal denied claims, ensuring timely resolution
• Maintain compliance with current healthcare billing regulations and payer requirements

Collections & Accounts Receivable

• Manage a portfolio of 50+ accounts, including high-dollar outpatient balances
• Conduct collections activities via payer portals and phone outreach
• Reconcile accounts and ensure accurate posting of charges and payments
• Identify and resolve discrepancies in billing and reimbursement

Insurance & Reimbursement

• Work closely with government and commercial payers, including Medicare and Medicaid
• Interpret payer policies and reimbursement guidelines
• Support insurance verification and authorization processes

Reporting & Process Improvement

• Analyze billing data and identify trends impacting reimbursement
• Assist with development and maintenance of standard operating procedures (SOPs)
• Support updates to billing workflows based on regulatory or policy changes

Qualifications

Required:

• 3–5 years of experience in hospital-based billing and collections
• Strong understanding of the full revenue cycle and high-complexity collections
• Experience working with government payers (Medicare/Medicaid)
• Familiarity with UB-04 billing and outpatient account management
• Ability to manage high-volume workloads with strong attention to detail

Preferred:

• Experience with dialysis billing or specialty healthcare services
• Exposure to electronic health record systems (e.g., Cerner, Epic)
• Experience working within payer portals and patient account systems

Work Environment & Schedule

• Initial onsite training period (approximately 1–3 months, depending on ramp-up)
• Hybrid schedule after training with partial in-office requirements (1 day per week in-office / 4 days remote)
• Flexible scheduling available post-training (early morning to evening shifts)

Interview Process

• Initial phone screening
• Panel interview with cross-functional team members
• Final steps include formal application and standard onboarding process

Additional Information

• Comprehensive background screening and health clearance required prior to start
• Structured onboarding timeline; start dates aligned with organizational scheduling