Revenue Reimbursement Coordinator (Bakersfield)

Central to all that California has to offer, Adventist Health Bakersfield has been providing an extraordinary team of world-class physicians, top-notch medical technology, caring professionals and award-winning quality since 1910. We are comprised of a 254-bed acute care hospital and 20 primary and specialty care medical offices. As one of America's fastest growing cities, Bakersfield offers affordable housing on the West Coast, beautiful weather, high-quality education and it is just a few hours away from Yosemite and Sequoia National Parks, the Central California Coast and Southern California’s great sports, theaters, concerts and amusement parks. 

 Job Summary:

Supports the Revenue Management department by performing account-level reviews, validating payer adjudication against contract terms, and preparing analytic reports to identify systemic issues, trends, and payer behaviors. Collaborates with Patient Access, Utilization Management, Case Management, Patient Financial Services, Revenue Integrity, and other Revenue Cycle pillars to support denial prevention, process improvement, payer escalations, and reimbursement optimization. Provides detailed account and trend analysis to assist the Director, Revenue Analytics in decision-making.

Job Requirements:

Education and Work Experience:

• Associate's/Technical Degree or equivalent combination of education/related experience: Required

• Bachelor's Degree: Preferred

• Five years' hospital/medical office experience: Preferred

Essential Functions:

• Performs account-level reviews to ensure timely and full reimbursement according to payer contracts.

• Validates insurance coverage, contract assignment, and authorization status for high-dollar and at-risk accounts.

• Identifies barriers to clean claims and timely payment; tracks and trends denials, escalating systemic issues to the Director.

• Supports AR Reserve analysis and identifies trends that significantly impact net patient revenues.

• Prepares supporting reports and documentation for payer escalations, appeals, and Joint Operating Committees.

• Collaborates with Clinical and Revenue Cycle leaders to correct process gaps and prevent recurring revenue leakage.

• Maintains a cooperative and flexible team role, assisting the department with payer escalations and revenue cycle projects as needed.

• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.