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Revenue Cycle Representative
Ohio State University Physicians. Review, verify, obtain and correct patient demographics and insurance information, diagnoses, diagnostic services, hospital services, dates, authorizations, certifications, signatures and other information for insurance bills and coverage eligibility .
About the role
Key responsibilities & impact- Review, verify, obtain and correct patient demographics and insurance information, diagnoses, diagnostic services, hospital services, dates, authorizations, certifications, signatures and other information for insurance bills and coverage eligibility
- Resolve payer 277 rejections and denials and follow up on issues
- Coordinate and analyze EOBs for denials and irregularities, take appropriate action and reprocess claims
- Investigate and resolve unpaid claims to maximize reimbursement
- Research and resolve missing or conflicting patient information and obtain additional forms or information
- Update work queues and invoices for collection activity
- Reconcile accounts and adjust balances for denials, adjustments, payments and other modifications
- Identify revenue-impacting trends, communicate issues to management and participate in denial-reduction solutions
- Follow up on accounts receivable research projects and provide status updates to the manager
- Maintain attendance, promptness, professionalism, attention to detail, cooperation and politeness
- Perform other duties or special projects as assigned
Requirements
What you’ll need- High School diploma or equivalent with two or more years of medical billing experience; or equivalent combination of education and experience
- Knowledge of insurance carrier payment policies, practices and amounts
- Organizational and problem-solving skills
- Ability to manage multiple priorities
- Effective verbal and written communication skills
- Ability to work under time pressures or demanding requests
- Ability to interact and communicate with individuals at all levels of the organization
- Experience with EPIC, Clearinghouse Vendors and Imaging software systems preferred
Benefits
Comp & perks- Medical insurance
- Dental insurance
- Vision insurance
- Health reimbursement accounts
- Flexible spending accounts
- Retirement benefits
- Employee assistance program
- Paid time off
- Paid holidays
- Wellness program