Revenue Cycle Representative (Insurance Follow-Up) - Physician/Hospital Accounts Receivable Management (PHARM) - Patient Financial Services
                                About the position
Responsibilities
• Resolve claims from an assigned work-queue to ensure timely processing within guidelines.
• Determine appropriate payments made by various entities and work with patients and insurance companies to obtain correct payments.
• Perform denial management and research to resolve outstanding accounts receivable.
• Identify and report undesirable trends and reimbursement modeling errors.
• Maintain a high level of accuracy to meet productivity and quality requirements.
• Review and analyze report data to provide status updates to leadership.
• Communicate with providers, payers, patients, and internal departments to resolve issues.
Requirements
• Bachelor's degree or equivalent combination of education and experience.
• Related customer service experience (typically 6 months or more) in a professional, financial, healthcare, or medical-related environment.
• Strong attention to detail with the ability to gather and analyze data accurately.
• Proficiency with computer software applications, including Microsoft Office Suite.
• Demonstrated ability to handle complex situations with minimal supervision.
• Self-motivated with initiative to seek out additional responsibilities.
Nice-to-haves
• Experience maintaining professionalism while handling difficult situations with customers.
• Demonstrated ability to maintain or improve established productivity and quality requirements.
• Familiarity with medical terminology.
• Basic knowledge of HIPAA laws and healthcare billing processes.
Benefits
• Hybrid work environment with remote work options.
• Training provided either onsite or via Zoom.
• Workstation provided with necessary equipment for onsite work.
Apply tot his job
Apply To this Job