Revenue Cycle Representative - Billing

About the role

This role supports billing operations and accounts receivable functions, ensuring accurate claim submission, timely follow-up, and effective communication with payers and internal teams.

Responsibilities

• Support billing and collections processes for accounts receivable
• Review and submit claims for assigned payers and/or business lines in a timely manner
• Run and analyze monthly aging reports to follow up on unpaid claims according to departmental protocols
• Communicate with Utilization Review staff regarding authorizations, appeals, and payer requirements
• Respond to payer communications, including processing denials and submitting additional information as needed
• Maintain accurate and organized filing systems, including archiving inactive records
• Document all billing-related activity appropriately within the electronic health record (EHR) system
• Collaborate with team members and participate in meetings to support departmental goals
• Promote excellent customer service in all interactions

Requirements

• A high school diploma or GED
• One (1) year experience in an office, clerical, or customer service environment
• Experience with medical billing, insurance reimbursement, or collections preferred
• Knowledge of medical terminology, CPT/ICD-9/10/HCPCS coding, and insurance billing processes preferred
• Familiarity with Medicare, Medicaid, and private insurance requirements preferred
• Strong data entry and keyboarding skills, including navigating electronic systems and payer websites
• Intermediate proficiency in Microsoft Office (Word, Excel, Outlook)
• Strong attention to detail, organizational skills, and ability to manage time effectively
• Ability to work independently and solve moderately complex billing and coding issues
• Excellent communication skills with the ability to interact professionally with diverse stakeholders
• Ability to maintain confidentiality and adhere to HIPAA guidelines

Qualifications

• High school diploma or GED required

Skills

• Strong data entry and keyboarding skills
• Intermediate proficiency in Microsoft Office
• Strong attention to detail and organizational skills
• Ability to work independently and solve billing and coding issues
• Excellent communication skills

Benefits

Check out our benefits here!

Pay

The anticipated starting pay for new hires for this position is between $17.00 -$18.00 an hour. Factors such as job-related qualifications, skills, education, experience, local market conditions, and internal equity are considered in determining base pay.

Schedule

N/A