Rev Cycle Denials Recv Rep 2 - Non-Govt

Carle Health • Champaign, IL

9d • $17 - $27

About The Position

Proficient in Revenue Cycle Denials Receivable Representative 1. Responsible for handling escalated account and payer issues. Handles complex edits, appeals and account activities such as advanced level tasks, bankruptcies, Risk Management. Acts as a billing and reimbursement expert for a defined payer product line.

Responsibilities

• Must be able to perform essential job functions of Revenue Cycle Accounts Receivable Representative 1.
• Handles complex edits, correspondence and advanced level workqueues such as but not limited to retro review, EOB balancing, credit adjustment review and processing of Illinois Workers’ Compensation Commission (IWCC).
• Handles escalated account activities such as but not limited to healthcare liens, settlement requests, workers’ compensation reimbursement computation forms and attorney requests.
• Handles escalated appeals.
• Assists with training and education to staff for accuracy.
• Identifies payer and system issues to initiate project requests for process improvements.
• Assists in credit balance review according to organization’s credit balance/refund policy.
• Attends and participates in meetings with payer specific provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed