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Healthcare Revenue Cycle Representative - Remote
About the position
The Revenue Cycle Representative is responsible for denials management and payment accuracy verification for assigned wound care centers. At RestorixHealth, we grow talent. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally, and vertically. This is a career destination for engaged, caring, passionate and talented people who want to make a difference. We are the leader in the development and management of comprehensive wound healing and Amputation Prevention Center facilities. RestorixHealth is an Equal Employment Opportunity employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Responsibilities
- Demonstrate expertise in the billing / collection requirements of all third-party payers, including government regulations and procedures.
- Perform insurance / billing clerical duties, including review and verification of patient account information against insurance program specifications.
- Follow up on balances due from insurance companies. Appeal, rebill and inquire continuously until paid / resolved.
- Obtain the necessary information to successfully respond to insurance claim denials.
- Enter data and notes into hospital billing system to process charges, payments, denials and adjustments.
- Act as a liaison between Hospital Billing Department and Company.
- Have complete understanding of wound care aging accounts reporting.
- Enter payment information in RestorixHealth (RXH) accounting system for invoicing.
- Update RXH systems with follow up notes on a weekly / current basis.
- Assume responsibility for all accounts within facility.
- Maintain required records, reports and files.
- Update Revenue Cycle Manager on all outstanding issues.
- Maintain the confidentiality of all patient, hospital and / or physician related information.
- Assist Revenue Cycle Manager with new center implementation and support Front Desk Coordinator as needed.
- Perform duties as directed by Revenue Cycle Manager and other unit related duties as assigned.
- Travel to hospital accounts as required, i.e., to obtain needed medical records or attend meetings, etc.
Requirements
- Must have a high school diploma or GED equivalent with at least two years experience as a Medical Biller in a medical facility, agency or office.
- Excellent communications and organizational skills.
- Knowledge of ICD-9 & CPT-4 coding.
- Two years of experience in medical billing and insurance claim filing.
- Must have intermediate skills in Microsoft Word, Excel and Outlook.
- Must have experience working with electronic medical records (EMR) system.
