Revenue Cycle Representative

Volunteers of America - Minnesota & Wisconsin • Edina, MN

84d • $26 - $30

About The Position

The Revenue Cycle Representative's responsibilities are working within the Electronic Health Record system to submit claims to payer sources, send statements to clients, and to reconcile/resolve patient accounts. Self pay collections, billing, insurance benefit checks, eligibility checks, remote deposit of checks, credentialing, posting electronic remittances, making claim appeals.

Requirements

• 2 years experience in mental health billing
• College degree
• Must have prior history of medical billing, credentialing, working with insurances on intermediate to advanced level of issue resolution
• Must be intermediate/advanced use of Excel

Responsibilities

• Sorting and mailing client balance statements
• Processing patient payments and refunds
• Answering patients' questions regarding unsettled bills, reimbursements, and billing discrepancies
• Contacting patients through email, written correspondence, or telephone to inform them of overdue balances
• Creating suitable payment plans for patients based on their monthly income and financial obligations
• Forwarding of delinquent accounts to supervisor for possible referral to collection agency
• Verifying patients' insurance coverage/eligibility
• Interpreting patients' insurance benefits to check for coverage/noncoverage of services, deductibles, copays, coinsurance and individual and family out of pocket maximums
• Generating, reviewing, updating and submitting batches of claims in billing software to claims clearinghouse
• Reviewing billing information including CPT coding, ICD10 diagnosis coding, modifier appendage, authorizations required
• Handling billing rejection notices from clearinghouse and making appropriate corrections
• Reviewing and appealing denied, unpaid or short paid claims
• Maintain accounts receivable aging reports with comments on follow up steps taken/necessary
• Completing write off forms for uncollectable charges
• Requesting information/clarification from clinical staff when necessary
• Maintenance of logins for numerous insurance websites for accounts receivable follow up activities
• Posting payments in billing system to client accounts including handling payment retractions
• Saving attachments to clients' accounts
• Adding prior authorization data to client accounts
• Downloading explanations of benefits/remittance advice from payer websites
• Actively participate in and positively contribute to aging meetings with other staff
• Providing new staff with logins and assigning security access to websites/removing access from departing staff
• Logging into credit card carrier and applying payments to patient accounts, logging into bank account and posting ACH payments to patient accounts
• Distributing mail and faxes received
• Training/mentoring new staff on processes and procedures
• Sorting checks received between donations and payments to be applied in different platforms

Benefits

• Medical, Dental & Vision Insurance
• 403(b) Retirement Plan
• HSA & FSA Programs
• Employer Paid Life Insurance, Short-Term/Long-Term Disability
• Quality training, continuing career education and leadership programs
• Paid Time Off (Vacation, Holiday & Sick Days)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Social Assistance
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees