Revenue Integrity A/R Representative

21 hours ago

Oklahoma City, Oklahoma, United States Harris Computer Full time $60,000 - $120,000 per year

Key Responsibilities

  • Review physician charges and supporting documentation for accuracy, completeness, and compliance with CPT, ICD-10, and payer guidelines.
  • Identify, research, and resolve billing and charge capture errors prior to claim submission.
  • Manage AR aging reports and follow up on unpaid, underpaid, or denied claims to ensure timely collections.
  • Collaborate with coding, billing, and clinical teams to prevent recurring errors and improve charge capture processes.
  • Analyze denial trends and develop recommendations for process improvement.
  • Conduct internal audits to support revenue integrity and compliance with payer contract terms.
  • Prepare and maintain reports tracking reimbursement performance, collection activity, and outstanding balances.
  • Stay current with payer policies, physician billing regulations, and healthcare reimbursement trends.

Qualifications

  • Associate or Bachelor's degree in Accounting, Business, Healthcare Administration, or related field (or equivalent work experience).
  • Minimum of 2 years of experience in physician billing, AR management, or revenue integrity.
  • Strong knowledge of medical terminology, CPT/ICD-10 coding, and payer reimbursement methodologies.
  • Proficiency in electronic health record (EHR) and billing systems (e.g., Epic, Athena, eClinicalWorks, or similar).
  • Intermediate proficiency in Microsoft Excel, including pivot tables, data analysis, and reporting.
  • Project management skills, including the ability to coordinate process improvement initiatives and track performance outcomes.
  • Excellent analytical, organizational, and communication skills.
  • Strong attention to detail with the ability to work both independently and collaboratively.

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