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.
Primary Duties
- Process adjudicated claims received from CMS; identify and troubleshoot any errors
- Verify all demographic information in the software to ensure accuracy
- Collaborate with practices, third party vendors and other team members to resolve inconsistencies and errors
- Support the validation of check runs ahead of financial disbursements
- Answer all customer inquiries on assigned accounts
- Support project completion while balancing multiple, simultaneous priorities
- Participate in system testing post upgrades and rate change updates
Minimum Qualifications
- Strong background in accounts receivable and an understanding of Medicare billing
- Knowledge of CPT, ICD-10, and HCPC level 11 coding guidelines
- Ability to navigate healthcare industry rules and regulations, including HIPAA, False Claims Act, Fair Debt Collections Act and Stark Law
- Experience with ambulatory practice billing processes and operations
- Close attention to details
- Proficiency in the billing and coding processes
- Ability to manage time with little to no supervision
- Excellent problem-solving skills and managing projects/multiple priorities
Preferred KSA's
- Excellent verbal and written communication skills
- Excellent organizational skills
- 7+ year billing and coding experience
- Experience with Salesforce, Monday.com, Jira, and Tableau
- Proficient with Google Suite
- Minimum Education : High school diploma; Bachelor’ degree in health-related services preferred
- Licensure Certified Professional Coder (CPC), Certified Professional Biller (CPB) or comparable credential
Physical Requirements
- Ability to travel up to 5% of the time, as needed
What We Do
Aledade is a new company with an old-fashioned goal: putting doctors back in control of health care. Aledade partners with independent, primary care physicians to provide everything the doctors need to create and run an Accountable Care Organization (ACO) – from business and practice transformation services to upfront capital and a cutting-edge technology platform. Our customized solutions – and our continuous, on-the-ground support of our physician partners – will help doctors in all types of communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.
For more, visit us at: www.aledade.com.
