Revenue Cycle Representative (Finance)

Overview:

Resolv Healthcare is seeking a detail-oriented Accounts Receivable (AR) Follow-Up Representative to join our Hospital Revenue Cycle team. As an AR Representative, you will monitor assigned patient accounts for accurate and timely payment of claims by managing work queue, aging lists, and claims correspondence; reviews claim denials for problem areas; resubmits claims and files appeals as necessary.

Job Description:

• Manages work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts.
• Verifies completeness and accuracy of billing data and revises any errors.
• Reads and interprets denied claims in order to resolve discrepancies; resubmits or files appeal for reconsideration.
• Reviews aging accounts in order to collect amounts due or initiates escalation procedures for collections, according to established guidelines.
• Notes follow-up on billing records and maintains supporting documents and notes in established files; verifies that remittances meet contractual obligations.
• Audits and resolves discrepancies on patient accounts; reviews accounts for non-covered or out of network procedures and refers adjustments according to established guidelines.
• Receives telephone calls; answers inquiries and resolves patient account questions; contacts patients to obtain or relay account information.
• Requires regular and prompt attendance.
• Maintains and protects confidentiality in all aspects of patient health information, proprietary information, and employee information.
• Manages customer/client interactions in a professional manner; responds promptly to requests for service and assistance and meets those commitments.
• Demonstrates the spirit of the philosophy, mission, and values of IMD through words and actions, and implements them into department processes, programs, and the working environment.

Requirements:

• Minimum 2-year experience billing for institutional claim; working Denials, Accounts Receivable and Appeals
• Sunrise EHR experience a plus.
• Proficient in Microsoft Office, Internet, and medical billing systems.
• Ability to work effectively and relate well to patients, clients, colleagues, and individuals inside and outside the company.
• Ability to communicate both verbally and in writing to individuals inside and outside the company.
• Ability to work in a fast-paced environment with demonstrated ability to prioritize multiple, competing tasks and demands, and to seek supervisory assistance as appropriate.