Revenue Cycle Representative

We are Hiring!!

Role :

The Revenue Cycle Representative is a dedicated, driven professional who takes initiative and can multi-task to fulfill all functions of the revenue cycle including processing of claims, following up on aging revenue, payment posting and collections for various clients.

Payrate : $18.00 an hour + Benefits

Location : REMOTE

Duration : Fulltime

Responsibilities :

Review all billing guidelines, benefits verifications, and coding, as required, based on the designated client.

Claim Billing and collection for multiple clients and multiple locations.

Follow up with insurance on pending payments via phone, web portal and / or fax and expedite claim processing to maximize reimbursement and avoid bad debt.

Review patient demographic, insurance carrier information and reconciliate payments to maintain a clean AR.

Understanding of eligibility benefits and claims processing to identify discrepancies for claim resolution.

Review EOB’s / contracts and fee schedules to ensure maximum cash collections.

Process payments from insurance companies, prepare daily deposits and apply manual payments / adjustments / write offs based on Explanation of Benefits in a timely manner.

Gather trends relevant to AR scenarios to report to management progression of collection and AR monitoring.

Perform denial management functions by resolving incoming denials through appeals or reprocessing of claims.

Respond to customer and insurance inquiries via mail, email, fax or phone call in a timely manner.

Communicate with and assist patients with billing questions, inquiries and collecting payments.

Provide feedback and suggestions on workflow improvement, trends, and areas of opportunity.

Review fee schedules to ensure proper payment (as required by client) and submit appeals as needed.

Knowledgeable in multiple processes of the RCM Department and able to provide coverage for any team including but not limited to : follow up, cash receipts, customer service, denial management and / or special projects.

Maintain strict confidentiality; adheres to all HIPAA guidelines / regulations.

Requirements :

High School Diploma or GED

2 years experience in healthcare field or in a similar role

Experience with Insurance Provider Portals

Knowledge of medical billing preferred