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The Revenue Cycle Representative (RCR) for the practice is a customer service and financial related position with primary focus to communicate between the physicians, insurance company representatives, contracted billing vendor and the patient. The RCR will provide exceptional customer service to our external as well as internal customers. Support service excellence standards to all our customer groups, utilize tools and processes to make independent decisions and will maintain integrity and treat internal and external customers respectfully. This position will be working in our Radiation Oncology division.
1. Contact patients, insurance companies, pre-authorization, referrals to resolve patient account inquiries as representative of the physician practices that require RCR.
2. Maintain strict confidentiality of patient and center related business.
3. Ensure all patient appointments are financially secured by completing insurance notification if referral or preauthorization is required.
4. Analyze and verify patient demographic, insurance eligibility and financial information/responsibility for accurate claim submission and reimbursement.
5. Identify & report trends and reimbursement modeling errors and/or underlying causes of incorrect payment; review allowed variances from third party payers.
6. Be expected to maintain a high-level of accuracy to meet productivity and quality requirements.
7. Identify trends and/or work processes for potential process improvements.
8. Review and analyze report data to provide status updates to leadership.
9. Communicate with providers, payers, patients, internal departments, co-workers and supervisor to resolve issues.
10. Assists with Coding form submission accuracy to assure timely RCM workflows.
11. Maintain extensive working knowledge and expertise based around payer regulations/policies, financial classifications.
12. Build and maintain solid working relationships with clinical staff, referral sources, insurance companies, medical providers and public.
13.Work queries related to referrals/pre-authorizations, and any associated denials and requested documentation.
14. Provides customer service to patients by educating them on insurance policies, billing procedures and coding issues.
15. Acts as a resource to physicians and staff regarding authorization requirements to assure returns meet best practice
16. May provide training to others on billing procedures and practices. All other duties as assigned.
QUALIFICATIONS: Experience maintaining professionalism while handling difficult situations with callers or customers. Demonstrated ability to maintain or improve established productivity and quality requirements. Familiarity with medical terminology. Basic knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws. Basic knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and state billing regulations.
Job Type: Full-time
Pay: From $30.00 per hour
Benefits:
Schedule:
Work setting:
Work Location: In person
Full Time
$69k-88k (estimate)
05/08/2024
09/03/2024
The job skills required for Revenue Cycle Representative include Billing, Customer Service, Confidentiality, HIPAA, etc. Having related job skills and expertise will give you an advantage when applying to be a Revenue Cycle Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Revenue Cycle Representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Revenue Cycle Representative positions, which can be used as a reference in future career path planning. As a Revenue Cycle Representative, it can be promoted into senior positions as a Revenue Cycle Reporting Analyst that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Revenue Cycle Representative. You can explore the career advancement for a Revenue Cycle Representative below and select your interested title to get hiring information.