Revenue Cycle Representative (Fully Remote!)

Published
June 24, 2022
Location
San Antonio, TX
Category
Job Type

Description

Title: Representative, Revenue Cycle

Wage Category: Hourly, Non-Exempt

Reports to: Supervisor, Revenue Cycle Salary Range: Commensurate with experience and geographic locations

Job Statement

A Revenue Cycle Representative is responsible for all accounts receivable billing, collections and follow up activity to optimize cash flow and reduce bad debt.

  • Fantastic role to begin a career with us!
  • Insurance, billing, and/or customer service experience preferred.
  • Epic and Cerner experience is a plus!

Job Duties

An effective Revenue Cycle Representative will exemplify the MediRevv Mindset by helping the organization on a whole achieve balance between partners, people, and performance through:

  • Resolve payer rejections and denials through the appeals process as required by each payer.
  • Follow up with insurance companies regarding the status of outstanding claims and necessary steps for resolution.
  • Answer and review pertinent insurance correspondence to insure complete and accurate reimbursement for medical claims.
  • Meet or exceed productivity and quality metrics.
  • Responsible for working payer correspondence, edits and aged account receivable and identifying and correcting billing errors.
  • Research payer rules and regulations to maintain current payer knowledge.
  • Compose correspondence including claim forms, appeals, and notifications to applicable parties.
  • Contact and educate patients and guarantors regarding necessary steps to resolve an outstanding insurance balance while providing exemplary customer service.
  • Complies with HIPAA and other compliance requirements to protect patient confidentiality.
  • Adhere to benchmarks and strive for continuous improvement on metrics such as touches to resolution, appeal resolution rate, and average work time per claim.
  • Efficiently navigate several computer applications; document all actions taken in appropriate MediRevv and/or client systems.
  • Other innovative or progressive duties as assigned

Job Requirements – Knowledge, Skills And Abilities

A successful candidate must have proficient knowledge/capabilities in the following areas:

  • 1+ year of high-volume insurance, denials and appeals, patient collections, or customer service experience preferred
  • Ability to perform at a high level of productivity and quality.
  • Excellent written and oral communication skills
  • Computer skills including proficiency with Microsoft Office Suite.
  • Cerner or EPIC experience preferred
  • Skills to work independently and be resourceful with the ability to multitask.

Remote Work Requirements

To be considered for a fully-remote position, there are technological requirements you must meet:

  • Internet capability must be a hard-wired, high-speed broadband internet connection, DSL, or Cable. Satellite, Dial Up, and/or Wireless connections are not allowed. Your internet connection must be strong enough to operate MediRevv equipment and software:
  • 25 Mbps download/3Mbps upload preferred
  • 10 Mbps download/1Mpbs upload minimum
  • Based on job role and equipment supplied, you must be able to connect MediRevv equipment to an internet router/box via wired (Ethernet) cable. You are expected to confirm this need and capability before your hire date/training date/first day of work.
  • Able to establish a secure, secluded working environment ensuring both HIPAA compliance and ability to work during scheduled work hours without distractions/interruptions.

Equal Opportunity Employment Statement

MediRevv is an EEO/AA Employer. M/F/Veteran/Disability. We strongly encourage minorities, veterans, and individuals with disabilities to apply for openings with us.

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