Revenue Cycle Regional Rep 2

About the position

The Revenue Cycle Regional Rep 2 is responsible for managing escalated account and payer issues within the Revenue Cycle department. This role involves handling complex edits, appeals, and account activities, acting as a billing and reimbursement expert for a defined payer product line. The position requires proficiency in advanced tasks related to revenue cycle management and collaboration with various stakeholders to maximize reimbursement and minimize denials.

Responsibilities
• Handle escalated account activities such as healthcare liens, settlement requests, and workers' compensation reimbursement forms.
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• Manage complex edits, correspondence, and advanced level workqueues including retro review and EOB balancing.
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• Assist with training and education for staff to ensure accuracy in revenue cycle processes.
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• Identify payer and system issues to initiate project requests for process improvements.
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• Participate in meetings with payer representatives to enhance reimbursement and reduce denials.

Requirements
• High School Diploma/GED required; Associate's degree preferred.
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• 1-3 years of customer service experience in healthcare required.
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• Proficient in Microsoft Office applications (Word, Excel, Outlook) and Receivables Management systems.
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• Knowledge of basic medical coding and third-party operating procedures.

Nice-to-haves
• Credit and collection experience preferred.
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• Proficiency in EncoderPro.

Benefits

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