Revenue Cycle Representative

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.