Revenue Cycle Representative

Harris Computer • NE

87d

About The Position

Resolv Healthcare is seeking a Patient Account Representative to join our dynamic team. As a Patient Account Representative, you will monitor assigned patient accounts for accurate and timely payment of claims by managing work queue, aging lists, and claims correspondence; reviews claim denials for problem areas; resubmits claims and files appeals as necessary. The role involves managing work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts. You will verify the completeness and accuracy of billing data and revise any errors. Additionally, you will read and interpret denied claims in order to resolve discrepancies; resubmit or file appeals for reconsideration. The position requires reviewing aging accounts to collect amounts due or initiate escalation procedures for collections, according to established guidelines. You will also note follow-up on billing records and maintain supporting documents and notes in established files; verify that remittances meet contractual obligations. The role includes auditing and resolving discrepancies on patient accounts, reviewing accounts for non-covered or out of network procedures, and referring adjustments according to established guidelines. You will receive telephone calls, answer inquiries, and resolve patient account questions; contact patients to obtain or relay account information. Regular and prompt attendance is required. You will maintain and protect confidentiality in all aspects of patient health information, proprietary information, and employee information. The position requires managing customer/client interactions in a professional manner; responding promptly to requests for service and assistance and meeting those commitments. You will demonstrate the spirit of the philosophy, mission, and values of IMD through words and actions, and implement them into department processes, programs, and the working environment.

Requirements

• Minimum 2-year prior Medicare Facility experience utilizing DDE.
• Experience working with Denials, Accounts Receivable, and Appeals.
• EPIC experience is a plus.
• Proficient in Microsoft Office, Internet, and medical billing systems.
• Ability to work effectively and relate well to patients, clients, colleagues, and individuals inside and outside the company.
• Ability to communicate both verbally and in writing to individuals inside and outside the company.
• Ability to work in a fast-paced environment with demonstrated ability to prioritize multiple, competing tasks and demands.

Responsibilities

• Manage work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts.
• Verify completeness and accuracy of billing data and revise any errors.
• Read and interpret denied claims to resolve discrepancies; resubmit or file appeals for reconsideration.
• Review aging accounts to collect amounts due or initiate escalation procedures for collections.
• Note follow-up on billing records and maintain supporting documents and notes in established files.
• Verify that remittances meet contractual obligations.
• Audit and resolve discrepancies on patient accounts.
• Review accounts for non-covered or out of network procedures and refer adjustments according to established guidelines.
• Receive telephone calls; answer inquiries and resolve patient account questions.
• Contact patients to obtain or relay account information.
• Maintain and protect confidentiality in all aspects of patient health information.
• Manage customer/client interactions in a professional manner.

Benefits

• Comprehensive benefit package.
• Casual work environment.
• Opportunity to learn.
• Award-winning culture.
• Empowerment to make a difference.

What This Job Offers

• Number of Employees: 1,001-5,000 employees