Revenue Cycle Representative

Essentia Health•Duluth, MN

1d•$19 - $29•Remote

About The Position

The Revenue Cycle Representative administers the full cycle billing for the specialized areas of skilled nursing, home health or hospice. The Representative understands the overall workflow of the revenue cycle process and collaborates with clinical teams to ensure the services aligned with the billable charges, as well as ensure the proper documentation has been completed and submitted per payer guidelines.

Requirements

2+ years of experience in healthcare billing, pre-services, accounting or financial analysis

Nice To Haves

Associate or bachelor’s degree in healthcare administration, finance, business administration, accounting or a related field preferred or commensurate professional experience
2+ years of healthcare revenue cycle experience

Responsibilities

Completes insurance verifications and identifies terming approvals
Monitors and tracks documentation, authorization renewals and benefits exhaustion
Ensures the Common Working File is properly updated with services provided
Reviews, corrects and updates claims based on edits to support accurate and compliant claims submissions
Completes claim follow-up, denials, appeals and corrections
Completes medical records requests by payers
Completes daily, weekly and monthly reporting as assigned my leadership to ensure proper and compliant claims processing
Pursues collections of unpaid self-pay/private pay balances
Processes and submit monthly patient statements
Perform self-pay/private-pay collections calls, send collections letters on past due accounts
Collaborates with clinical staff to resolve complex billing issues
Completes payment posting, correct posting errors, research credits and reconcile posting errors
Provides support to the clinical team regarding payer questions, tools and resources, assisting with problem solving as needed