Revenue Coordinator, Transplant Collections

About Cedar Gate Technologies

Cedar Gate Technologies, an IQVIA business, enables payers, providers, employers, and service administrators to excel at value-based care with a unified technology and services platform delivering analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you’ll be part of a collaborative, innovative environment where great ideas thrive. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.

Position Summary

The Revenue Coordinator, Transplant Collections is responsible for resolving complex accounts receivable (A/R) for Value-Based Care (VBC), primarily focusing on transplant accounts. This position is a member of a talented team of Collection Representatives who demonstrate superb technical competency while elevating those around them. A Revenue Coordinator, Transplant Collections is responsible for reconciling, managing, and researching assigned accounts, which may not always involve transplants. This team also handles all unresolved claims inquiries and issues and are responsible for following the company's collection policies and procedures. Occasionally, team members work with outside agencies, vendors, and clients to maintain the company's acceptable AR days, AR aging, and payments.

Roles & Responsibilities

• Complete Value-Based Reimbursement processes timely and accurately according to industry best practices and Cedar Gate Technologies standards.
• Analyze and correctly resolve assigned claims promptly.
• Communicate with carriers, physicians' offices, patients, and management to resolve issues and claims status.
• Accurately verify insurance benefits related to claims.
• Ensure insurance benefits are updated.
• Process required adjustments according to department protocol.
• Ensures payments are posted accurately.
• Properly appeal claims as needed.
• Obtain medical records and other documents from appropriate resources as needed for claims payment.