RCM Representative

Key Responsibilities

• Monitor and manage accounts receivable balances, including following up on unpaid or denied claims.
• Research and resolve claim denials and rejections by analyzing reasons for denial, identifying corrective actions, and resubmitting claims when appropriate.
• Assist with patient billing inquiries, resolve payment discrepancies, and facilitate payment arrangements.
• Generate and analyze revenue cycle reports to monitor key performance indicators (KPIs) such as days in AR, denial rates, and collection ratios.
• Ensure all billing activities are compliant with state and federal regulations, payer requirements, and organizational policies.
• Work closely with the clinical staff, billing team, and revenue cycle management to address issues impacting revenue cycle performance and provide feedback for process improvement.

Requirements

• A High School Diploma. 2 years’ experience preferred.
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Maintains professional friendly attitude.
• Excellent knowledge of payor policies and guidelines.
• Familiarity with coding guidelines.