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Revenue Cycle Financial Representative

2 months ago

Cedar Rapids, Iowa, United States Longwood University Full time

**Job Summary**

We are seeking a highly skilled Revenue Cycle Financial Representative to join our team at Longwood University. As a key member of our financial services team, you will play a critical role in ensuring the smooth operation of our revenue cycle processes.

**Key Responsibilities:**

  • Create and manage patient estimates, review eligibility and benefits, and obtain authorization requirements.
  • Provide patient education and counseling on financial obligations, and work with patients to establish payment plans.
  • Collaborate with clinical areas to create estimate templates, determine workflow and process, and provide training on estimate usage and patient scripting for collections.
  • Screen and assist patients with financial assistance, Medicaid eligibility, and other funding sources available.
  • Monitor and track routine follow-up with Medicaid and financial assistance approvals, and handle patient inquiries on billing questions.
  • Fulfill patient requests for itemization of charges, adding/verifying/billing insurance, establishing payment plans, and explaining charity care policy and guidelines.
  • Initiate patient outreach on delinquent payment plans, and investigate disputed accounts that have received a NC State Income Tax refund withhold.
  • Work with Patient Relations, Risk Management, and external customers to address patient concerns and resolve issues.

**Requirements:**

  • High school diploma or GED.
  • Two years of experience in hospital or physician insurance-related activities (authorization, billing, follow-up, call-center, or collections).
  • Bilingual Spanish/English, verbal and written communication skills.
  • Advanced knowledge of UB-04, HCFA-1500s, and Explanation of Benefits (EOB) interpretation.
  • Intermediate knowledge of CPT and ICD-9 codes.
  • Advanced knowledge of insurance billing, collections, and insurance terminology.
  • Ability to work in a fast-paced environment and prioritize and manage multiple tasks.

**Preferred Qualifications:**

  • Knowledge of 3rd party reimbursements from insurance companies and government payers.