Our company strives to provide the best-in-class comprehensive acute care while leading the industry with clinical excellence, superior patient outcomes and value based partnerships.
If you are a candidate who is passionate about working within healthcare and who wants to join a wonderful organization, apply now!
Currently, our company is looking to hire a full-time, Revenue Cycle Representative for our multiple centers. The candidate will work remotely but will visit our designated hospital centers.
Job Summary : The Revenue Cycle Representative is responsible for denials management and payment accuracy verification for assigned centers.
Detailed Responsibilities:
- Demonstrate expertise in the billing / collection requirements of all third-party payers, including government regulations and procedures.
- Perform insurance / billing clerical duties, including review and verification of patient account information against insurance program specifications.
- Follow up on balances due from insurance companies. Appeal, rebill and inquire continuously until paid / resolved.
- Obtain the necessary information to successfully respond to insurance claim denials.
- Enter data and notes into hospital billing system to process charges, payments, denials and adjustments.
- Act as a liaison between Hospital Billing Department and Company.
- Have complete understanding of wound care aging accounts reporting.
- Enter payment information in accounting system for invoicing.
- Update systems with follow up notes on a weekly / current basis.
- Assume responsibility for all accounts within facility.
- Maintain required records, reports and files.
- Update Revenue Cycle Manager on all outstanding issues.
- Maintain the confidentiality of all patient, hospital and / or physician related information.
- Assist Revenue Cycle Manager with new center implementation and support Front Desk Coordinator as needed.
- Perform duties as directed by Revenue Cycle Manager and other unit related duties as assigned.
- Travel to hospital accounts as required, i.e., to obtain needed medical records or attend meetings, etc.
Education and Technical Skills:
- Must have a high school diploma or GED equivalent with at least two years experience as a Medical Biller in a medical facility, agency or office.
- Excellent communications and organizational skills.
- Knowledge of ICD-9 & CPT-4 coding.
- Two years of experience in medical billing and insurance claim filing.
- Must have intermediate skills in Microsoft Word, Excel and Outlook.
- Must have experience working with electronic medical records (EMR) system.
All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. We are an EO employer – M/F/Veteran/Disability
Job Type: Full-time
Pay: $40,000.00 - $50,000.00 per year
Work Location: Remote
