What are the responsibilities and job description for the Revenue Cycle Representative position at Career Opportunities?
Come join our life-changing team building hope, resilience and well-being as a Revenue Cycle Representative!
Shift Details: Full-time – 40 hours/week
Schedule: Monday-Friday, 8am-4:30pm - fully onsite
Compensation: $26.00-$30.00/hour
Location: Metro Office - 7625 Metro Boulevard, Edina, MN 55439
About the job:
The Revenue Cycle Representative's responsibilities are working within the Electronic Health Record system to submit claims to payer sources, send statements to clients, and to reconcile/resolve patient accounts. Self pay collections, billing, insurance benefit checks, eligibility checks, remote deposit of checks, credentialing, posting electronic remittances, making claim appeals.
Essentials:
Self pay collections:
- Sorting and mailing client balance statements
- Processing patient payments and refunds.
- Answering patients’ questions regarding unsettled bills, reimbursements, and billing discrepancies.
- Contacting patients through email, written correspondence, or telephone to inform them of overdue balances.
- Creating suitable payment plans for patients based on their monthly income and financial obligations.
- Forwarding of delinquent accounts to supervisor for possible referral to collection agency.
Billing:
- Verifying patients’ insurance coverage/eligibility
- Interpreting patients’ insurance benefits to check for coverage/noncoverage of services, deductibles, copays, coinsurance and individual and family out of pocket maximums
- Generating, reviewing, updating and submitting batches of claims in billing software to claims clearinghouse.
- Reviewing billing information including CPT coding, ICD10 diagnosis coding, modifier appendage, authorizations required
- Handling billing rejection notices from clearinghouse and making appropriate corrections.
- Reviewing and appealing denied, unpaid or short paid claims.
- Maintain accounts receivable aging reports with comments on follow up steps taken/necessary.
- Completing write off forms for uncollectable charges.
- Requesting information/clarification from clinical staff when necessary
- Maintenance of logins for numerous insurance websites for accounts receivable follow up activities
- Posting payments in billing system to client accounts including handling payment retractions
- Saving attachments to clients’ accounts
- Adding prior authorization data to client accounts
- Downloading explanations of benefits/remittance advice from payer websites
- Actively participate in and positively contribute to aging meetings with other staff.
Administrative:
- Providing new staff with logins and assigning security access to websites/removing access from departing staff
- Logging into credit card carrier and applying payments to patient accounts, logging into bank account and posting ACH payments to patient accounts
- Distributing mail and faxes received
- Training/mentoring new staff on processes and procedures
- Sorting checks received between donations and payments to be applied in different platforms (i.e. Credible vs Sage for Grants and Contracts and Care Options)
Job Highlights:
- Medical, Dental & Vision Insurance
- 403(b) Retirement Plan
- HSA & FSA Programs
- Employer Paid Life Insurance, Short-Term/Long-Term Disability
- Quality training, continuing career education and leadership programs
- Paid Time Off (Vacation, Holiday & Sick Days)
Required Qualifications:
- 2 years experience in mental health billing
- College degree
- Must have prior history of medical billing, credentialing, working with insurances on intermediate to advanced level of issue resolution
- Must be intermediate/advanced use of Excel
About Us:
Volunteers of America MN/WI which serves as an affiliate of the Volunteers of America parent organization.
Volunteers of America Minnesota is a nonprofit health and human services organization that annually serves more than 25,000 children, adolescents and their families, older adults, students, persons with disabilities and special needs, and adults completing incarceration. Since 1896, we have helped people gain self-reliance, dignity, and hope.
Take pride in helping others and join us today!
At VOA, we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best.
Salary : $26 - $30