Revenue Cycle Rep III-Cardiology/Vascular

Piedmont Healthcare Inc.•Atlanta, GA

About The Position

The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. The Rep III position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education. The Rep III supports patient-centered care and Customer Service by serving as a patient advocate during the life cycle of the account. The Rep III is expected to maintain productivity above the average standard identified by the Revenue Cycle Department. Quality and accuracy of work performed by the Rep III is expected to be consistently above 90% when audited. Rep III performance will be measured according to the Piedmont Healthcare values of Compassion, Commitment, Service, Excellence and Balance and expected to be tiered in the top 1/3 in the department. Rep III Revenue Cycle duties may include but are not limited to Core Functions: Billing, Claims Filing, Data Entry, Charge Entry, Insurance Follow-Up, Self-Pay Follow-Up, Denial Management, Payment Posting, Refund Management, Credit Balance Management, Account Correction and Adjustment, Response to Patient Account Inquiries, Customer Service Advocacy, Self-Pay Collections, and Unapplied Cash, as well as, Advanced Functions; File Maintenance, System Support, Claims Edit Management, Claims Rejection Management, Front End Management, and Payment Variance Management. The Rep III Employee will be proficient in one or more advanced Revenue Cycle responsibilities or functions. Advanced Revenue Cycle responsibilities and functions are those above and beyond that of Core Revenue Cycle functions and are defined by the requirements outlined below: Highly specialized and skilled Revenue Cycle employees. Possesses advanced problem solving abilities. Supports all departments in the Revenue Cycle. Demonstrates advanced knowledge requiring little training in the core functions and responsibilities of the physician billing Revenue Cycle. Ability to analyze and assess Revenue Cycle reports, workflows, and processes. Assists and participates in creation of training manuals and job aids for their respective area(s) of expertise. Ability to function as a trainer. Ability to function as a lead. Ability to act as a resource to less experienced staff. Maybe asked to support quality assurance audits. Maybe assigned to special projects, tasks, or duties.

Requirements

H.S. Diploma or General Education Degree (GED)
5 years of experience exhibiting advanced performance in a physician billing revenue cycle or Central Business Office

Responsibilities

Encompass all key functions of the physician billing Revenue Cycle.
Support patient-centered care and Customer Service by serving as a patient advocate during the life cycle of the account.
Maintain productivity above the average standard identified by the Revenue Cycle Department.
Ensure quality and accuracy of work performed is consistently above 90% when audited.
Perform Core Functions: Billing, Claims Filing, Data Entry, Charge Entry, Insurance Follow-Up, Self-Pay Follow-Up, Denial Management, Payment Posting, Refund Management, Credit Balance Management, Account Correction and Adjustment, Response to Patient Account Inquiries, Customer Service Advocacy, Self-Pay Collections, and Unapplied Cash.
Perform Advanced Functions: File Maintenance, System Support, Claims Edit Management, Claims Rejection Management, Front End Management, and Payment Variance Management.
Be proficient in one or more advanced Revenue Cycle responsibilities or functions.
Possess advanced problem-solving abilities.
Support all departments in the Revenue Cycle.
Demonstrate advanced knowledge requiring little training in the core functions and responsibilities of the physician billing Revenue Cycle.
Analyze and assess Revenue Cycle reports, workflows, and processes.
Assist and participate in creation of training manuals and job aids for their respective area(s) of expertise.
Function as a trainer.
Function as a lead.
Act as a resource to less experienced staff.
Support quality assurance audits (if asked).
Be assigned to special projects, tasks, or duties (if asked).