Revenue Cycle Representative- REMOTE

RestorixHealth, Connecticut, Openings : 1, Experience : Not Specified
Job Description :
The Revenue Cycle Representative is responsible for denial management and payment accuracy verification for assigned wound care centers.

What We Offer:
  • Monday – Friday schedule, no weekends
  • RestorixHealth is proud to provide employees with a comprehensive and attractive benefits program which includes the following:
  • Medical, Dental and Vision Insurance
  • Health Savings Account (with employer match) and Flexible Spending Accounts (General Purpose, Limited Purpose and Dependent Care)
  • Employer-Paid Basic Life Insurance, AD&ampD and Short-Term Disability
  • Voluntary Buy-Up Life Insurance (for self, spouse &amp children), Short-Term Disability and Long-Term Disability
  • Voluntary Accident, Critical Illness and Hospital Indemnity Plans
  • Employee Assistance Program
  • Pet Care Discount Program
  • Generous Paid Time Off and Paid Holidays
  • 401(k) Retirement Plan (with employer match)
  • Internal ongoing educational/training opportunities
  • Competitive compensation
  • Continuous coaching &amp mentorship
Primary Responsibilities:
  • Demonstrate experience in healthcare billing and collection requirements of all third-party payers, including government regulations and procedures.
  • Perform insurance and or billing clerical duties, including review and verification of patient account information against insurance program specifications.
  • Follow up on unpaid claims and outstanding balances due from insurance payers. Assist hospital partners with appeals, rebilling and inquire continuously until resolved.
  • Research and obtain the necessary information to successfully respond to insurance claim denials.
  • Record appropriate data and notes into hospital or other designated billing system to process charges, payments, denials and adjustments when appropriate.
  • Act as a liaison between Hospital Billing Department and RestorixHealth.
  • Review and completely understand our wound care aging accounts reporting.
  • Enter and format payment information for RestorixHealth Accounting Department for client invoicing.
  • Responsible for reviewing all wound care and HBO accounts within assigned facility / center with updates to Revenue Cycle Director as needed.
  • Maintain appropriate reports, such as billing work sheets and aging reports and or other files as needed to perform required task.
  • Provide regular updates to the divisional Revenue Cycle Director on all outstanding issues.
  • Maintain the confidentiality of all patient, hospital and / or physician related information.
  • Travel to hospital accounts if needed or as required to obtain needed medical records and / or to meet with hospital billing staff.
Additional Responsibilities:
  • Assist Revenue Cycle Director with new center implementation and support Front Desk Coordinator (FDC) as needed.
  • Perform duties as directed by Revenue Cycle Director.
  • Performs other related duties as assigned.
Education and Technical Skills:
  • Must have high school diploma or GED equivalent with at least two years’ experience as a medical biller, coder, collections specialist, healthcare claims filing or auditing in a medical facility (out-patient facility), medical practice, office or agency.
  • General understanding and working knowledge of ICD-10 and CPT/HCPCS coding.
  • Must have intermediate skills in Microsoft Word, Excel and Outlook.
  • Must have experience working with electronic medical records (EMR) system.
  • Must hold a valid driver’s license for the entire time the position is held.
Last Date For Apply: 2023-10-11 00:00:00 Job Type : FULL_TIME, Employment Type : FULL_TIMEExpired