Job Description

Title: Representative, Revenue Cycle Wage Category: Hourly, Non-Exempt Reports to: Supervisor, Revenue Cycle Salary Range: Commensurate with experience

JOB STATEMENT

A Revenue Cycle Representative is responsible for all accounts receivable billing, collections and follow up activity to optimize cash flow and reduce bad debt.

JOB DUTIES

An effective Revenue Cycle Representative will exemplify the MediRevv Mindset by helping the organization on a whole achieve balance between partners, people, and performance through:

• Resolve payer rejections and denials through the appeals process as required by each payer.
• Follow up with insurance companies regarding the status of outstanding claims and necessary steps for resolution.
• Answer and review pertinent insurance correspondence to insure complete and accurate reimbursement for medical claims.
• Meet or exceed productivity and quality metrics.
• Responsible for working payer correspondence, edits and aged account receivable and identifying and correcting billing errors.
• Research payer rules and regulations to maintain current payer knowledge.
• Compose correspondence including claim forms, appeals, and notifications to applicable parties.
• Contact and educate patients and guarantors regarding necessary steps to resolve an outstanding insurance balance while providing exemplary customer service.
• Complies with HIPAA and other compliance requirements to protect patient confidentiality.
• Adhere to benchmarks and strive for continuous improvement on metrics such as touches to resolution, appeal resolution rate, and average work time per claim.
• Efficiently navigate several computer applications; document all actions taken in appropriate MediRevv and/or client systems.
• Other innovative or progressive duties as assigned

JOB REQUIREMENTS – KNOWLEDGE, SKILLS AND ABILITIES A successful candidate must have proficient knowledge/capabilities in the following areas:

• 1+ year of high-volume insurance or denials and appeals experience preferred
• Ability to perform at a high level of productivity and quality.
• Excellent written and oral communication skills
• Computer skills including proficiency with Microsoft Office Suite.
• EPIC experience preferred
• Skills to work independently and be resourceful with the ability to multitask.

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