Revenue Cycle Representative

Ohio State University Physicians•Columbus, OH

23h•$18 - $27

About The Position

Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion? With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth. At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community.

Requirements

High School diploma or equivalent with two or more years of medical billing experience; or equivalent combination of education and experience.
Knowledge of insurance carrier payment policies, practices and amounts.
Evidence of organizational and problem-solving skills, and ability to manage multiple priorities.
Ability to effectively communicate both verbally and in writing.
May be required to work under time pressures or demanding requests from various staff members and departments.
Must be able to interact and communicate with individuals at all levels of the organization.

Nice To Haves

Experience with EPIC, Clearinghouse Vendors and Imaging software systems

Responsibilities

Reviews, verifies, obtains and corrects patient demographics and insurance information, medical diagnosis, laboratory and other diagnostic services information, hospital service, applicable dates, required authorizations and certifications, signatures, and other information related to preparation and processing of insurance bills, and eligibility of coverage.
Provides problem resolution on payer 277 rejections and denials and follow-up on issues as needed.
Coordinates and analyzes EOB’s for denials and irregularities, institutes appropriate actions, and reprocesses claims in accordance with Company policy.
Investigates and resolves unpaid claims timely to accurately maximize reimbursement.
Research and resolves missing or conflicting patient information; requests completion of additional forms or information for denied claims or special processing requirements.
Updates work queue and invoices for collection activity according to Department guidelines.
Accurately reconciles accounts; adjusts balances to reflect denials, adjustments, payments and other modifications to balances.
Responsible for identifying trends which impact revenue, communicates identified issues and trends to management. Participates in analysis and solutions to reduce and resolve denials.
Responsible for the follow up on A/R research projects; review status of accounts, action taken, and further course of action if warranted; provides updates to manager regarding status of A/R projects.
Provides problem resolution on denials and follow-up issues as needed.
Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients.
Other duties or special projects as assigned.