Revenue Cycle Representative

Job Overview

Surgical Notes is hiring for a Medical Accounts Receivable Representative to assist with timely follow-up and collection on our clients’ third party payor accounts receivable. The ideal candidate has excellent organizational skills, communication skills, with the desire and ability to learn quickly. Working as a part of the team to meet deadlines, but also being able to work independently is crucial to the success in this position. Our organization prides itself on being built upon a set of strong core values. We are looking for candidate who will actively exhibit these core values: Service Excellence, Transparency, Teamwork, Accountability, Hardwork, and Positive Attitude. Internal Title: US RCM Individual Contributor II. External Title: Revenue Cycle Representative. Reports to: Manager, Revenue Cycle.

Responsibilities

• Work through book of accounts receivable claims and develop plan for maintaining proper coverage on all accounts
• Review aged accounts, trace and appeal unpaid and/or erroneously paid or denied accounts
• Work all denials and underpayments received within 24 hours by researching steps previously taken and take additional action, as needed to resolve the claim
• Obtain pre-authorizations as needed
• Work tickler accounts daily to ensure overall health of client accounts receivable
• Review and address correspondence daily, including emails from clients
• Identify trends and inform client lead/manager, as appropriate
• Escalate issues to client lead/manager, as appropriate
• Other responsibilities as assigned
  
  

Qualifications

• One year of experience working with a healthcare provider or an Associate’s Degree in Healthcare Management, Business Management or a related field
• Experience with medical billing
• Proven experience working payer denials including but not limited to commercial, government, out of network, workers compensation, and auto-vehicle
• Experience working surgical claims
• Proficient with MS Outlook, Word, and Excel
• Ability to work independently and as part of a team
• Strong attention to detail and speed while working within tight deadlines
• Exceptional ability to follow oral and written instructions
• A high degree of flexibility and professionalism
• Excellent organizational skills
• Strong interpersonal and persuasive abilities in order to secure accurate and timely payment from patients
• Ability to work in a fast-paced environment
• Outstanding communications skills; both verbal and written
• Positive role model for other staff and patients by working with them to promote teamwork and cooperation
• Ability to apply commonsense understanding and logic in day to day activities
• Experience with healthcare billing and collections
• Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
• Paragon and/or athenahealth experience
• Strong Microsoft Office skills in Teams
• A working knowledge of IPAs and health plans is required
• Comfortable with electronic and manual payor follow-up
• Able to quickly identify trends and escalate, as appropriate
• Ability to read, analyze and interpret insurance plans, financial reports, and legal documents
  
  

Additional Information

Role Information: Full-Time. Hourly. Non-Exempt. Eligible for Benefits. Remote: The minimum bandwidth requirements are 10 Mbps upload and 50 Mbps download speeds. The recommended bandwidth requirements are 20 Mbps upload and 100 Mbps download speeds. Physical Demands: Sitting and typing for an extended period of time. Reading from a computer screen for an extended period of time. Work environment of a traditional fast-paced and deadline-oriented office. Working closely with others. Frequent verbal communication, primarily over the phone, and face-to-face interaction. Working independently. Frequent use of a computer and other office equipment. Key Competencies: Communication. Attention to detail. Responsiveness. Customer Service. Execution.