Revenue Cycle Representative

Overview:

Resolv Healthcare is seeking a Patient Account Representative to join our dynamic team.

As a 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.

Job Description:


* 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.

Requirements:


* Minimum 2-year prior Facility experience with working Denials, Accounts Receivable and Appeals


* Paragon experience a plus.


* 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, and to seek supervisory assistance as appropriate.