As a Revenue Cycle Associate you will provide information and assistance to customers about billing and claims with a goal of a positive patient experience with every encounter. A successful Revenue Cycle Associate becomes the patient's advocate and works to facilitate resolution of past due patient accounts by working with insurance companies, government agencies and patients in the payment for services that have been provided.
- Demonstrate the ability to properly research account issues, resulting in account resolution
- Establish and maintain relationships with individual payer provider relations representative(s) to resolve collection issues with patient accounts
- Prioritize and work assigned accounts to obtain prompt payment from payer
- Demonstrate accounts receivable claims problem solving
- Demonstrate the ability to escalate problem accounts to management as required by circumstances
- Identify and prevent risk and receivable related loss to the management
- Record information about financial status of customers and status of collection efforts
- Performs other duties as assigned
Required Knowledge and Skills
- Demonstrated ability to communicate effectively on the phone, in writing and via email
- Ability to exercise discretion on sensitive and confidential matters
- Demonstrated computer skills with data entry software
- Ability to apply mathematical concepts and calculations
- Strong oral, written and interpersonal skills and strong customer-service skills, including courteous telephone etiquette
- Ability to interpret policies and procedures and communicate effectively
- Ability to adapt to a fast-paced environment and learn and retain new or evolving information and procedures
- Ability to work under stress and pressure and respond to inquiries with tact, diplomacy and patience
- Ability to work in a team environment
- Demonstrate initiative in researching and resolving benefit, eligibility and claims issues.
- Knowledge of medical terminology, insurance billing and reimbursement, and coding
- 30 wpm keyboarding skills with 95% accuracy
Education and Experience
- Education: High School Diploma or GED.
- Experience (Type & Length): One year customer service call center experience or one year customer service experience preferably in the medical field, insurance, banking, hospital medical office or other experience with extensive customer service contact. Collection experience, 2+ years preferred.
- Software/Hardware: Microsoft Office suite required; Experience with patient accounting systems and billing/claim submission software. Cerner experience a plus.
- Other: 30 wpm keyboarding skills with 95% accuracy