15 Revenue Cycle Representative Jobs near me
SENTA Partners is Hiring a Revenue Cycle Representative Near Atlanta, GA
- Have Knowledge of ENT and Allergy but not required
- Knowledge of Biologics but not required
- Research denials and determine if there is a legitimate case for overturning the denial.
- Verify that all pertinent documentation which substantiates the appeal arguments are organized and complete, and that the appeal letter is logically argued. Ensure the documentation utilized is recorded according to internal quality standards. Use the best, most compelling evidence available to support the argument presented in the appeal. Recognize and obtain missing yet necessary documentation to complete the appeals package. Review and verify appeal exhibits/evidence for accuracy.
- Proof-read and edit the appeal letter, as necessary. Ensure appeal letter contains no spelling, grammatical, or syntax errors before being submitted to the client for review.
- Ensure that the appeal is written and submitted according to internal documentation control protocols and timely filing.
- Communicate and collaborate with internal and external team members to promptly, accurately, and professionally address any questions or concerns that arise because of the appeal review or writing and submission process and escalate customer concerns to Inform manager of payor trends or problems or changes in payor requirements.
- Follow up on all Corrected claims and appeals submitted.
- Make clear, detailed notations in EMR system on all accounts worked.
- Calculate expected claim reimbursement.
- Have a working knowledge of payor policy guidelines and payor contracts.
- Have a clear understanding of fee schedules.
- Knowledge of redetermination and appeals process for all payers.
- Must have a understating of clearing house claims edits and rejections.
- A basic understating of modifiers and payer policy guidelines
- High School Diploma.
- 2 years' experience preferred.
- Excellent verbal and written communication skills.
- Excellent organizational skills and attention to detail.
- Maintains professional friendly attitude.
- Excellent knowledge of payor policies and guidelines.
- Familiarity with coding guidelines.
Job Summary
Full Time
$58k-74k (estimate)
05/04/2024
05/20/2024
sentapartners.com
Atlanta, GA
<25
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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.
