Revenue Cycle Rep III

About the Role

The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. This role requires advanced revenue cycle knowledge acquired through experience, training, and education. The Rep III supports patient-centered care and customer service by serving as a patient advocate throughout the account lifecycle. Performance is measured by maintaining productivity above department standards, achieving consistent quality and accuracy above 90%, and embodying Piedmont Healthcare’s values of Compassion, Commitment, Service, Excellence, and Balance. This position is expected to rank in the top 1/3 of the department.

Responsibilities

Duties include but are not limited to:

• Core Functions: Billing, Claims Filing, Data Entry, Charge Entry, Insurance Follow-Up, Self-Pay Follow-Up, Denial Management, Payment Posting, Refund Management, Credit Balance Management, Account Correction and Adjustment, Response to Patient Account Inquiries, Customer Service Advocacy, Self-Pay Collections, and Unapplied Cash.
• Advanced Functions: File Maintenance, System Support, Claims Edit Management, Claims Rejection Management, Front End Management, and Payment Variance Management.

Advanced responsibilities include:

• Highly specialized and skilled Revenue Cycle expertise.
• Advanced problem-solving abilities.
• Support for all Revenue Cycle departments.
• Advanced knowledge requiring minimal training in core functions.
• Analysis and assessment of Revenue Cycle reports, workflows, and processes.
• Assistance in creating training manuals and job aids.
• Ability to function as a trainer, lead, and resource for less experienced staff.
• Support for quality assurance audits and special projects.

Qualifications

• Education: H.S. Diploma or General Education Degree (GED) Required.
• Work Experience: 5 years of advanced performance in physician billing revenue cycle or Central Business Office.
• Licenses and Certifications: None Required.

Business Unit: Piedmont Healthcare Corporate