Revenue Integrity A/R Representative
About the role
The Revenue Integrity/Accounts Receivable Representative supports the financial performance of the physician practice by ensuring accurate charge capture, compliant billing, and timely reimbursement. This role works across departments to identify and correct billing discrepancies, reduce denials, and enhance overall revenue cycle efficiency.
Responsibilities
- Review physician charges and supporting documentation for accuracy, completeness, and compliance with CPT, ICD-10, and payer guidelines.
- Identify, research, and resolve billing and charge capture errors prior to claim submission.
- Manage AR aging reports and follow up on unpaid, underpaid, or denied claims to ensure timely collections.
- Collaborate with coding, billing, and clinical teams to prevent recurring errors and improve charge capture processes.
- Analyze denial trends and develop recommendations for process improvement.
- Conduct internal audits to support revenue integrity and compliance with payer contract terms.
- Prepare and maintain reports tracking reimbursement performance, collection activity, and outstanding balances.
Requirements
- Associate or Bachelor’s degree in Accounting, Business, Healthcare Administration, or related field (or equivalent work experience).
- Minimum of 2 years of experience in physician billing, AR management, or revenue integrity.
- Strong knowledge of medical terminology, CPT/ICD-10 coding, and payer reimbursement methodologies.
- Proficiency in electronic health record (EHR) and billing systems (e.g., Epic, Athena, eClinicalWorks, or similar).
- Intermediate proficiency in Microsoft Excel, including pivot tables, data analysis, and reporting.
- Project management skills, including the ability to coordinate process improvement initiatives and track performance outcomes.
- Excellent analytical, organizational, and communication skills.
- Strong attention to detail with the ability to work both independently and collaboratively.
Qualifications
This remote role welcomes candidates anywhere in Canada and the US.
Skills
Strong analytical skills, attention to detail, and the ability to manage multiple priorities in a fast-paced healthcare environment.
Benefits
3 weeks' vacation and 5 personal days
Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment
Employee stock ownership and RRSP/401k matching programs
Lifestyle rewards
Remote work and more!
Pay
TBD
Schedule
Remote Work