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Revenue Cycle Representative
Ohio State University Physicians. Process and verify invoices and insurance claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing processes, including invoice processing, claims verification, and denial resolution. Proficient in managing patient information and communicating effectively with various stakeholders to optimize revenue cycle management.
Highest-signal resume keywords
Medical Billing ExperienceDenials And Appeals ExperienceInsurance Carrier Payment PoliciesEPIC Software ProficiencyOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Invoice ProcessingClaims VerificationRevenue Cycle ManagementEOB AnalysisAccount Reconciliation
Soft Skills
Problem-Solving SkillsEffective CommunicationAbility To Manage Multiple Priorities
Tools & Technologies
EPICClearinghouse VendorsImaging Software Systems
Industry Keywords
Insurance ClaimsPatient DemographicsAging-Claim Problem AreasPayer 277 RejectionsDenial-Reduction Analysis
About the role
Key responsibilities & impact- Process and verify invoices and insurance claims
- Act as liaison between physicians, insurance companies and third parties
- Track claims throughout the revenue cycle and identify aging-claim problem areas
- Review, verify, obtain and correct patient demographics, insurance information, diagnoses, services, authorizations, certifications and signatures
- Resolve payer 277 rejections and denials
- 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
- Update work queues and invoices for collection activity
- Reconcile accounts and adjust balances for denials, adjustments, payments and other modifications
- Identify revenue-impacting trends and communicate issues to management
- Participate in denial-reduction analysis and solutions
- Follow up on accounts-receivable research projects and provide status updates to the manager
- Perform other assigned duties and special projects
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
- Must have denials and appeals 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 organizational levels
- 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