Revenue Cycle Representative II

MultiCare Health System•Yakima, WA

1d•Onsite

About The Position

Provides patient revenue management support throughout the revenue cycle, to include but not limited to: billing and collections, cash management and payment posting, and charge capture. Uses critical thinking skills to determine proper application of payments and adjustments. Accurately calculates manual and electronic payer remittance data. Accurately completes timely system entry of payments and adjustments. Analyzes and monitors payer remittances, identifies inappropriate payer payments and adjustments. Processes and performs patient refunds daily. Completes research on payment and adjustment discrepancies, contacting the appropriate parties for resolution. Identifies areas where system rules could enhance productivity with remittance response rules. Performs accurate record keeping and balancing procedures. Performs other related work and support activities as needed. Continually seeks innovative ways to improve process, procedures and workflows, and actively learns new processes. Achieves set key performance indicator targets. Performs efficient, timely and accurate follow-up of account activity. Works guarantor credit balance worklists and refund guarantors when appropriate. Works low dollar payment arrangement and initiates calls to negotiate higher payment plans. Works new patient account balances where an existing payment arrangement is in place and update terms. Calls patients proactively who are delinquent on their payment arrangement accounts to prevent accounts from bad debt collection process or offer financial assistance. Initiates and coordinates timely placement of accounts to bad debt agency. Relieves the Receptionist and Customer Service team when coverage is short. Assists with Financial Application processing as needed. Continually seeks innovative ways to improve process, procedures and workflows, and actively learns new processes. Achieves set key performance indicator targets.

Requirements

High School diploma or GED equivalent required.
Experience in a medical office setting preferred.
Understanding of medical terminology and medical coding preferred.

Responsibilities

Uses critical thinking skills to determine proper application of payments and adjustments.
Accurately calculates manual and electronic payer remittance data.
Accurately completes timely system entry of payments and adjustments.
Analyzes and monitors payer remittances, identifies inappropriate payer payments and adjustments.
Processes and performs patient refunds daily.
Completes research on payment and adjustment discrepancies, contacting the appropriate parties for resolution.
Identifies areas where system rules could enhance productivity with remittance response rules.
Performs accurate record keeping and balancing procedures.
Performs other related work and support activities as needed.
Continually seeks innovative ways to improve process, procedures and workflows, and actively learns new processes.
Achieves set key performance indicator targets.
Performs efficient, timely and accurate follow-up of account activity.
Works guarantor credit balance worklists and refund guarantors when appropriate.
Works low dollar payment arrangement and initiates calls to negotiate higher payment plans.
Works new patient account balances where an existing payment arrangement is in place and update terms.
Calls patients proactively who are delinquent on their payment arrangement accounts to prevent accounts from bad debt collection process or offer financial assistance.
Initiates and coordinates timely placement of accounts to bad debt agency.
Relieves the Receptionist and Customer Service team when coverage is short.
Assists with Financial Application processing as needed.