Revenue Cycle Representative

Harris Healthcare - Oklahoma City, OK

Full-time - Entry Level

Remote - Oklahoma City, OK

Ambulatory Health Care Services

About the position

The Patient Account Representative at Resolv Hospital is responsible for managing patient accounts to ensure accurate and timely payment of claims. This role involves monitoring work queues, handling claims correspondence, and addressing claim denials. The representative will also engage with patients to resolve account inquiries and maintain confidentiality in all aspects of patient information.

Responsibilities

• 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.
• 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.

Requirements

• Minimum 1-year prior experience in Denials, Accounts Receivable, and Appeals.
• 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.

Nice-to-haves

• Ability to jump in and learn quickly
• Self-starter
• Self-Motivated
• Ability to work independently

Benefits

• A competitive compensation package
• A remote work environment
• Full range of employee benefits including 401(k), Health Insurance (medical, dental, vision, life, short and long-term disability, AD&D)
• Paid Vacation