Full Cycle Revenue Cycle Rep
1 week ago
Prestigious Physician Group in Georgia looking for a Full Cycle Revenue Cycle Rep
Prestige Staffing has been tasked by one of our best clients to find a Full Cycle Revenue Cycle Rep to interview and go to work ASAP Candidate must be hard working and a self starter. If you want the opportunity to work in a rewarding and dynamic environment, this is your chance. This is a temporary to permanent position.
Responsibilities:
Review patient bills for accuracy and completeness and obtain any missing information
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
Follow up on unpaid claims within standard billing cycle timeframe
Check each insurance payment for accuracy and compliance with contract discount
Call insurance companies regarding any discrepancy in payments if necessary
Identify and bill secondary or tertiary insurances
All accounts are to be reviewed for insurance or patient follow-up
Research and appeal denied claims
Qualifications and Skills:
Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Minimum of 4 years of experience in medical billing/collections
Use of computer systems, software, 10 key calculator
Effective communication with insurance payers to resolve issues
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
Able to work in a team environment
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
Knowledge of medical terminology likely to be encountered in medical claims
#ZR-Rep
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