Revenue Cycle Representative

About Harris Computer:

Harris provides mission critical software solutions for the Public Sector, Healthcare, Utilities and Private Sector verticals throughout North America, Europe, Asia and Australia.

Working for Harris is the perfect opportunity to fulfill your professional goals as well as achieve your personal dreams! Our employees enjoy a casual work environment that offers comfort while providing superior service to our customers.

We offer a comprehensive benefit package as well as other additional “Perks”!


* We empower our employees to make a difference


* We have an award-winning culture


* We offer opportunity to learn


* We are financially strong and we are owned by the largest software company in Canada (CSI)


* We have fun!

Job Overview:

RESOLV is seeking a Patient Account Representative to join our dynamic team.
As the Patient Account Representative, you will monitor assigned patient accounts for accurate and timely payment of claims by managing work queue, aging lists, and claims correspondence; reviews claim denials for problem areas; resubmits claims and files appeals as necessary.

What your impact will be:


* 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.


* Requires regular and prompt attendance.


* 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.


* Demonstrates the spirit of the philosophy, mission, and values of IMD through words and actions, and implements them into department processes, programs, and the working environment.

What we are looking for:


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

RHC experience, preferred.


* Proficient in Microsoft Office, Internet, and medical billing systems.


* Ability to work effectively and relate well to patients, clients, colleagues, and individuals insid...