Revenue Cycle Vendor Coordinator

About North Country Healthcare (NCH): 

North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. As a leader in a management position this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance. 

POSITION SUMMARY:  

The RCM Vendor Coordinator acts as the primary liaison between revenue cycle vendors, payers, and the internal Revenue Cycle Management (RCM) leadership team. This role is essential in ensuring vendor accountability and performance, facilitating effective communication and training, and overseeing Electronic Data Interchange (EDI) and Electronic Funds Transfer/Electronic Remittance Advice (EFT/ERA) enrollments. The coordinator is responsible for maintaining compliance with organizational standards and enhancing vendor-related operations. 

ESSENTIAL QUALIFICATIONS 

Education: 

• A high school diploma or equivalent is required. 

• An associate or bachelor's degree in a relevant field such as healthcare administration, social work, public health, or a related area is preferred. 

Certification: 

• Certification such as Certified Revenue Cycle Representative (CRCR) or related credentials is advantageous. 

​​Licensure:​ 

• Association* accredited course in Basic Life Support (BLS) (for clinical staff), or Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis, with up to a three-month grace period after the expiration date. 

Skills: 

• Strong organizational and communication skills, with the ability to coordinate multiple tasks effectively. 

• Extensive knowledge of payer enrollment processes, including EDI, EFT, and ERA. 

• Excellent problem-solving skills and attention to detail. 

​​Work Experience:​ 

• Minimum of 3 years in healthcare revenue cycle operations, with experience in vendor management or payer relations. 

ESSENTIAL FUNCTIONS: 

• Serve as the primary liaison between vendors and internal RCM leadership, facilitating clear and effective communication. 

• Coordinate all aspects of vendor onboarding, training, and accountability processes to ensure alignment with organizational goals. 

• Monitor vendor adherence to contracts, organizational policies, and Service Level Agreements (SLAs), addressing any deviations. 

• Ensure successful EDI enrollments, including but not limited to 837 claims, 835 ERA, 270/271 eligibility, 276/277 claim status inquiries, and 278 authorizations. 

• Manage EFT/ERA enrollments, coordinating with payers and troubleshooting any issues to maintain seamless operations. 

• Track vendor performance consistently, identifying areas for improvement and escalating significant issues to leadership for resolution. 

• Collaborate with internal teams and external partners to maintain compliance with all relevant regulations and organizational standards. 

​​NON-ESSENTIAL FUNCTIONS 

• ​Performs additional duties as assigned. 

• ​Adheres to facility Values, Service Excellence and Standards of Excellence.​