Revenue Cycle Representative I

Piedmont Healthcare Atlanta , GA 30301

Posted 4 months ago


The Revenue Cycle Representative I (Rep I) is a multi-tasking entry level position that encompasses all core functions of the physician billing Revenue Cycle. The Rep I supports patient-centered care and Customer Service by serving as a patient advocate during the life cycle of the account.

The Rep I will also support clerical and data entry functions of the department. The Rep I is expected to maintain productivity at least at the minimum standard identified by the Revenue Cycle Department. Quality and accuracy of work performed by the Rep I is expected to show consistent improvement over the probationary period as well as throughout the first year of Revenue Cycle Department and CBO support when audited. Rep I performance will be measured according to the Piedmont Healthcare values of Compassion, Commitment, Service, Excellence and Balance and will be expected to be consistent with that of entry-level knowledge and experience in comparison to the department as a whole.

Rep I Revenue Cycle duties may include but are not limited to Core Functions: Billing, Claims Filing, Data Entry, Charge Entry, Insurance Follow-Up, Self-Pay Follow-Up, Denial Management, Payment Posting, Refund Management, Credit Balance Management, Account Correction and Adjustment, Response to Patient Account Inquiries, Customer Service Advocacy, Self-Pay Collections, and Unapplied Cash.


Require High School Diploma or general education degree (GED).


Requires a minimum of one (1) years of experience in a physician billing revenue cycle or Central Business Office.



1.This job requires proficiency with the computer systems that are used in the practice including Practice Management System, Internet products that relate to office functions and Microsoft office systems available to the office.
2.Knowledge of third-party insurance in regards to plan types: HMO, PPO, POS, and Indemnity.
3.Knowledge of the Medicare Program particularly as it relates to CPT and ICD9 coding CPT. Thorough knowledge of Medicare Fraud and Abuse regulations.
4.Ability to counsel patients financially regarding outstanding charges and effectively resolve problems via the highest customer service skills and etiquette.
5.Primary knowledge and understanding of the mechanisms of Practice Management Systems.
6.Possess full knowledge of HIPAA regulations.

upload resume icon
See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Revenue Cycle Manager Atlanta Support Services

Guardian Pharmacy

Posted 2 weeks ago

VIEW JOBS 12/27/2018 12:00:00 AM 2019-03-27T00:00 OverviewGuardian Pharmacy is a fast-growing company seeking top talent. We are looking for a Revenue Cycle Manager to join our fast-paced, growing team. We need someone who understands the importance of our challenges, and also has the drive to make an impact as we achieve our goals. As a key member of the Atlanta Support Services team, manage all aspects of the revenue cycle to ensure accurate and timely reporting. ESSENTIAL JOB FUNCTIONS (include the following): General * Review financial activity submitted by pharmacies during month-end close and book and / or review related journal entries * Work with team to ensure accurate reporting of revenue and accounts receivable * Review and certify accounts receivable revenue reconciliations & reporting * Manage all day-to-day third-party A/R reconciliation activities * Monitor open claims reporting on an ongoing basis and investigate aging claims * Monitor private pay collection percentages and hold calls with pharmacy Presidents / DFAs as necessary * Coordinate and proactively manage aggregation of revenue and accounts receivable related selections from external auditors during quarterly and annual testing * Actively participate in due diligence procedures for potential pharmacy acquisitions * Work with team to proactively manage successful integration of acquisitions (Revenue Cycle & Cash) * Assist with year-end performance evaluation for pharmacy personnel on collection metrics Financial Reporting * Perform detailed analytics to support the monthly revenue flash, which is presented to internal executive management * Record and / or review revenue & A/R related entries * Maintain the allowance for doubtful accounts Human Capital Management * Help hire, manage, train and develop other accountants * Other essential functions and duties may be assigned as needed EDUCATION AND/OR CERTIFICATIONS * Bachelor's degree in Accounting, along with 10+ years' experience in industry and/or public accounting. * CPA preferred but not required. SKILLS AND QUALIFICATIONS: * 10+ years of related experience (advanced degree may substitute for experience) * Ability to work on multiple projects to meet deadlines required * A strong working knowledge of automation technology is required, along with a thorough understanding of MS business solutions software and Excel * Ability to work independently and deliver to deadlines * Ability to solve problems with minimal direction * Great attention to detail and accuracy * Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines * Quality minded; motivated to seek out errors and inquire when something appears inaccurate * Understanding of accounting principles * 3+ years of supervisory experience preferred ATTRIBUTES REQUIRED: * Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy * Leadership – ability to build, lead and manage a team * Relational – ability to build relationships with business unit management and become "trusted advisor" * Strategy and Planning – ability to think ahead, plan and manage time efficiently * Problem Solving – ability to analyze causes and solve problems at both a strategic and functional level * Team Oriented – ability to work effectively and collaboratively with all team members LANGUAGE SKILLS: * Ability to communicate clearly and concisely in verbal and written form * Strong communication skills and a customer service attitud * Comfortable with executive level communication * Must be able to frequently communicate with customers and/or with others about customer's requirements, complaints, and common inquiries. Full-Time employees working 30+ hours per week are eligible to enroll in our comprehensive benefits package, which includes medical, dental, vision, short and long-term disability, life and supplemental life insurance, and PTO. All employees are eligible to enroll in our company matched 401(k) plan. Guardian Pharmacy Atlanta GA

Revenue Cycle Representative I

Piedmont Healthcare