Healthcare Revenue Cycle Representative - Remote

About the role

The Revenue Cycle Representative is responsible for denials management and payment accuracy verification for assigned wound care centers.

Responsibilities

• Demonstrate expertise in the billing / collection requirements of all third-party payers, including government regulations and procedures.
• Perform insurance / billing clerical duties, including review and verification of patient account information against insurance program specifications.
• Follow up on balances due from insurance companies. Appeal, rebill and inquire continuously until paid / resolved.
• Obtain the necessary information to successfully respond to insurance claim denials.
• Enter data and notes into hospital billing system to process charges, payments, denials and adjustments.
• Act as a liaison between Hospital Billing Department and Company.
• Have complete understanding of wound care aging accounts reporting.
• Enter payment information in RestorixHealth (RXH) accounting system for invoicing.
• Update RXH systems with follow up notes on a weekly / current basis.
• Assume responsibility for all accounts within facility.
• Maintain required records, reports and files.
• Update Revenue Cycle Manager on all outstanding issues.
• Maintain the confidentiality of all patient, hospital and / or physician related information.
• Assist Revenue Cycle Manager with new center implementation and support Front Desk Coordinator as needed.
• Perform duties as directed by Revenue Cycle Manager and other unit related duties as assigned.
• Travel to hospital accounts as required, i.e., to obtain needed medical records or attend meetings, etc.

Qualifications

• High school diploma or GED equivalent.
• At least two years experience as a Medical Biller in a medical facility, agency or office.
• Knowledge of ICD-9 & CPT-4 coding.
• Two years of experience in medical billing and insurance claim filing.
• Intermediate skills in Microsoft Word, Excel and Outlook.
• Experience working with electronic medical records (EMR) system.
• Excellent communications and organizational skills.

Benefits

• Opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally, and vertically.
• Career destination for engaged, caring, passionate and talented people who want to make a difference.