Revenue Cycle Associate - REMOTE

This position is responsible for the resolution of outstanding and/or denied claims based on third party claim processing
rules within established timelines. The Revenue Cycle Associate reports to the central business office supervisor or
manager.

Key Responsibilities:
• Meets goals and objectives in assigned area.
• Complies daily with departmental policies and procedures.
• Performs collection activity to ensure proper resolution and reimbursement on claims.
• Provides thorough, courteous, and professional assistance to coworkers and patients.
• Ensures that all claims are billed and collected and meet all government mandated policies for Integrity and
Compliance.
• Collaborates with hospital departments in the resolution of accounts.
• Resolves claims processing issues with third party payers and provide all required information timely; involves
patients and family members (where necessary) to ensure timely resolution of claims with insurance companies.
• Resubmits clean and accurate claims to insurance companies in a timely and compliant manner.
• Researches, prepares, and submits appeals to insurance companies.
• Details all actions taken on account with clear and concise notes.
• Monitors and recognizes denials and/or issues that may be trends and escalate to supervisor as needed; and
• Maintain strict confidentiality and adhere to all HIPAA guidelines/regulations
• Demonstrate excellent communication skills, both written and verbal.