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.
MINIMUM EDUCATION REQUIRED:
Require High School Diploma or general education degree (GED).
MINIMUM EXPERIENCE REQUIRED:
Requires a minimum of one (1) years of experience in a physician billing revenue cycle or Central Business Office.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
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.