The RCM Coordinator operates under the guidance of the RCM Manager. The ideal candidate will possess exceptional attention to detail, uphold the highest standards of customer service, demonstrate strong written and verbal communication skills, and have proficiency and revenue cycle management. Core Values: As an RCM coordinator at Lumio Dental, you will be expected to uphold our core values. Those core values are Teamwork, Integrity, attention to detail, Continuous Improvement, and Patient Focus. Lumio Dental is enthusiastic about elevating our patients’ dental experience, while creating a cohesive, and enjoyable working environment. Employees at Lumio Dental agree to be patient, understanding and function as a pleasant and welcoming presence in the office, communicate effectively with doctors, and as a team. Respect patients by recognizing their rights and keep confidentiality. Lumio Dental employees must be collaborators ready to aid where needed. Job Specific Expectations: Claims Processing: accurately review and give claims to payers in a timely manner, ensuring adherence to payer guidelines and minimize denials. Denial Management: identify, track, and address claim denials by working closely with the RCM Manager to resolve issues and resubmit claims as needed. Payment posting and reconciliation: Assist in the accurate posting of payments in reconciliation of accounts, ensuring that all payments are allocated correctly, and any discrepancies are resolved. Patient account management: Handle patient billing inquiries and resolve issues related to patient balances by partnering with the office coordinators, identifying accurate payment posting and other account discrepancies, while maintaining an elevated level of customer service. Compliance and regulatory adherence: Stay informed of and comply with relevant federal state and payer specific regulations to ensure revenue cycle processes meet all compliance standards. Coordination with other departments: Collaborate with clinical front office and billing team to ensure accurate coding, billing, and account management as well as timely follow up on outstanding claims. Training and development: Participate in ongoing training to remain current with changes in payer policies, coding practices, and revenue cycle management trends. Process Improvement: Continuously identify areas of process improvement and collaborate with the RCM Manager to implement changes that enhance efficiency and revenue capture. Documentation and record keeping: Maintain accurate and up-to-date documentation of claims payment denials and appeals for auditing and compliance purposes: Position Requirements: ● High school diploma or GED needed. An associate or bachelor’s degree in health administration, business or related field is preferred. ● 1-2 years Revenue cycle management, medical billing, or health care administration. Experience with claims submission denial management, and payment posting is required. ● Proficient with Microsoft Excel and General, EHR, the insurance processes, dental claim forms pay regulations basic understanding of dental terminology. ● Diligence to detail, highly organized, and efficient. ● Effective communication skills ● Must have adequate vision to work with computer and patient information. This written job description may not cover all job functions related to an RCM Coordinator job functions; therefore, employees will be expected to perform within reason of additional duties assigned that are not listed in this job description when requested by management. Lumio Dental is an EEO Employer, participating in the E-Verify program.

Discover. Achieve. Succeed. #BeHere Location: US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility. This job is REMOTE. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift Details: 0800-1630 Holidays: No Weekends: No Job Summary: The Utilization Management Specialist provides clerical support to the Utilization Review and Preauthorization teams to assist with patient transitions. Provides payor documentation through the provision of information to payors, documentation of authorizations and payor clinical information requests in the electronic health record. EXPERIENCE DESCRIPTION: A minimum of three (3) years of related experience is required. Experience working in a hospital billing office and/or admitting, health insurance and managed care program, Medicare and managed care denial management experience, preferred. EDUCATION DESCRIPTION: High School diploma or equivalent is required. Billing and clinical coding or medical terminology coursework, preferred. Associate or Bachelor's degree in healthcare related field, preferred. SPECIAL SKILLS DESCRIPTION: Analytical skills necessary to obtain information from patients and families, external customers, and ability to interact professionally with internal and external customers including hospital personnel and peers. Good organizational skills. Excellent communication skills. Effective application of Microsoft Office products, document imaging. Compensation, Benefits & Perks at Froedtert Health Pay is expected to be between: (expressed as hourly) $21.16 - $28.78. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process. Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following: - Paid time off - Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities - Academic Partnership with the Medical College of Wisconsin - Referral bonuses - Retirement plan - 403b - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation. We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.

• Responsible for reviewing, auditing, and data entry of medical bills for multiple states and lines of business within both Worker’s Compensation and Commercial Health arenas. • Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts • Analysis and review of 1 or more assigned states having fee schedules • Utilize Fee Schedules, Online Documents, Client instructions, and other training material to properly review medical bills • Review medical bills for compensability and relatedness to injury • Reprice medical bills to Workers’ Compensation Fee Schedule and PPO Network • Research usual and customary/fee schedule applications and system interface as appropriate • Reviews specialized Medical Bills, which include hospital, surgery, and high-level physician bills • Determine reimbursement outcomes by applying either Fee Schedule reduction, PPO reduction, Usual and Customary reduction, or Medicare reduction • Communicates and defends to providers and clients the basis for the methodology used to accomplish the reduction of charges • Analyzes and reviews high-level office visits, reports, and record reviews • Interprets hospital review guidelines for both inpatient and outpatient claims • Responsible for producing a final review for the recommendation of payment to the client • Maintain productivity, as well as speed and level of accuracy, as determined by company standards.

• Work remotely on projects related to health information management. • Provide accurate and thorough coding for medical records. • Maintain compliance with coding standards and regulations. • Collaborate with healthcare professionals to ensure proper documentation. • Participate in training and continuing education to stay current with coding practices.