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Revenue Cycle Representative (Insurance Follow-Up) - Physician/Hospital Accounts Receivable Management (PHARM) - Patient Financial Services

Remote, USA Full-time Posted 2025-11-03
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

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