Revenue Cycle Representative II

Responsibilities

• Insurance Follow Up
• Self-Pay Follow Up
• Payment Posting
• Account Correction and Adjustment
• Answering Patient Account Inquires
• Making Monitoring Billing Errors and claim/line item rejections

Qualifications

• Minimum Education Required: High School Diploma or General Education Degree (GED)
• Minimum Experience Required: Two (2) years related experience; or equivalent combination of education and experience
• Minimum Licensure/Certification Required: By Law None
• Moderate knowledge of third party insurance in regards to plan types: HMO, PPO, POS, and Indemnity
• Moderate knowledge of the Medicare Program particularly as it relates to CPT and ICD9 coding
• Knowledge of Medicare Fraud and Abuse regulations
• Ability to financially counsel patients regarding their outstanding charges and effectively resolve problems while maintaining a positive public relations image for the practice
• Possession of moderate knowledge of Next Gen Practice Management system
• Possession of full knowledge of HIPAA regulations
• Proficiency with the computer systems that are used in the practice including Practice Management System, Internet products that relate to office functions and Microsoft office systems available to the office