Revenue Cycle Rep II-Claim Edits

Piedmont Healthcare • Atlanta, GA

24d

About The Position

The Revenue Representative Two is a multi-task position that covers all of the main functions of the Central Business Office. The Business Office Representative Two has displayed the skill to accurately handle at least one unit function of the Central Business Office for at least two years. Included in these duties but not limited to: Insurance Follow Up, Self-Pay Follow Up, Payment Posting, Account Correction and Adjustment, Answering Patient Account Inquires, and Monitoring Billing Errors and claim/line item rejections. Provide initial training in all duties of the Central Business Office in an elementary phase. Position is designed to develop the incumbent into a Revenue Cycle Representative Three after training for two additional years of acceptable performance before promotion to a Business Office Two must be able to handle the complete functions of at least one Central Business Office Unit.

Requirements

• Require High School Diploma or general education degree (GED).
• Two (2) years related experience; or equivalent combination of education and experience.
• Moderate knowledge of third party insurance in regards to plan types: HMO, PPO, POS, and Indemnity.
• Moderate knowledge of the Medicare Program particularly as it relates to CPT and ICD9 coding CPT.
• Through knowledge of Medicare Fraud and Abuse regulations.
• Has the ability to financially counsel patients regarding their outstanding charges and effectively resolve problems while maintaining a positive public relations image for the practice.
• Possesses moderate knowledge of Next Gen Practice Management system.
• Possess full knowledge of HIPAA regulations.
• This job requires proficiency with the computer systems that are used in the practice including Practice Management System, Internet products that relate to office functions and Microsoft office systems available to the office.

Responsibilities

• Insurance Follow Up
• Self-Pay Follow Up
• Payment Posting
• Account Correction and Adjustment
• Answering Patient Account Inquires
• Monitoring Billing Errors and claim/line item rejections
• Provide initial training in all duties of the Central Business Office in an elementary phase.
• Handle the complete functions of at least one Central Business Office Unit.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees