Revenue Cycle Rep III-Cardiology/Vascular
Overview:
The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. The Rep III position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education. The Rep III supports patient-centered care and Customer Service by serving as a patient advocate during the life cycle of the account. The Rep III is expected to maintain productivity above the average standard identified by the Revenue Cycle Department. Quality and accuracy of work performed by the Rep III is expected to be consistently above 90% when audited. Rep III performance will be measured according to the Piedmont Healthcare values of Compassion, Commitment, Service, Excellence and Balance and expected to be tiered in the top 1/3 in the department.
Rep III 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, as well as, Advanced Functions; File Maintenance, System Support, Claims Edit Management, Claims Rejection Management, Front End Management, and Payment Variance Management.
The Rep III Employee will be proficient in one or more advanced Revenue Cycle responsibilities or functions. Advanced Revenue Cycle responsibilities and functions are those above and beyond that of Core Revenue Cycle functions and are defined by the requirements outlined below:
Highly specialized and skilled Revenue Cycle employees.
Possesses advanced problem solving abilities.
Supports all departments in the Revenue Cycle.
Demonstrates advanced knowledge requiring little training in the core functions and responsibilities of the physician billing Revenue Cycle.
Ability to analyze and assess Revenue Cycle reports, workflows, and processes.
Assists and participates in creation of training manuals and job aids for their respective area(s) of expertise.
Ability to function as a trainer.
Ability to function as a lead.
Ability to act as a resource to less experienced staff.
Maybe asked to support quality assurance audits.
Maybe assigned to special projects, tasks, or duties.
Responsibilities:
This role is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. This position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education. This role supports patient-centered care and Customer Service by serving as a patient advocate during the life cycle of the account. This person is expected to maintain productivity above the average standard identified by the Revenue Cycle Department. Quality and accuracy of work performed by this person is expected to be consistently above 90% when audited. This position performance will be measured according to the Piedmont Healthcare values of Compassion, Commitment, Service, Excellence and Balance and expected to be tiered in the top 1/3 in the department.
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, as well as, Advanced Functions; File Maintenance, System Support, Claims Edit Management, Claims Rejection Management, Front End Management, and Payment Variance Management. This employee will be proficient in one or more advanced Revenue Cycle responsibilities or functions. Advanced Revenue Cycle responsibilities and functions are those above and beyond that of Core Revenue Cycle functions and are defined by the requirements outlined below:
Highly specialized and skilled Revenue Cycle employees.
Possesses advanced problem-solving abilities.
Supports all departments in the Revenue Cycle.
Demonstrates advanced knowledge requiring little training in the core functions and responsibilities of the physician billing Revenue Cycle.
Ability to analyze and assess Revenue Cycle reports, workflows, and processes.
Assists and participates in creation of training manuals and job aids for their respective area(s) of expertise.
Ability to function as a trainer.
Ability to function as a lead.
Ability to act as a resource to less experienced staff.
Maybe asked to support quality assurance audits.
Maybe assigned to special projects, tasks, or duties.
Qualifications:
Education
- H.S. Diploma or General Education Degree (GED) Required
- 5 years of experience exhibiting advanced performance in a physician billing revenue cycle or Central Business Office Required
- None Required