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Senior Revenue Cycle Specialist
2 months ago
Job Title: Revenue Cycle Representative III
Company: Piedmont Healthcare
Description:
The Revenue Cycle Representative III (Rep III) is a senior-level role responsible for critical aspects of physician billing and revenue management.
This position necessitates comprehensive knowledge of the revenue cycle, developed through both professional experience and educational background. The Rep III plays a vital role in promoting patient-centered care by serving as an advocate for patients throughout the entire account management process. Consistently achieving high levels of productivity and accuracy is crucial, with performance expectations aligned with the core values of Piedmont Healthcare.Key Responsibilities may include:
- Billing Operations
- Claims Submission
- Data Management
- Insurance Follow-Up Activities
- Denial Resolution
- Refund Processing
- Customer Service Support
- Self-Pay Collection Efforts
- Advanced Revenue Cycle Functions
Qualifications:
EDUCATION:
High School diploma or equivalent (GED)
EXPERIENCE:
At least 5 years of experience in physician billing and revenue cycle management
LICENSURE/
CERTIFICATION:
Not mandated by law
ADDITIONAL QUALIFICATIONS:
In-depth understanding of third-party insurance processes, Medicare programs, HIPAA compliance, and relevant computer systems. Exceptional customer service skills and professional etiquette.
