Piedmont Healthcare Incorporated
Revenue Cycle Rep II-Claim Edits
Piedmont Healthcare Incorporated, Atlanta, Georgia, United States, 30383
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Responsibilities The Revenue Cycle Representative II is a multi-task position that covers all of the main functions of the Central Business Office.
Insurance Follow Up
Self-Pay Follow Up
Payment Posting
Account Correction and Adjustment
Answering Patient Account Inquiries
Monitoring Billing Errors and claim/line item rejections
Provide initial training in all duties of the Central Business Office in an elementary phase.
Position is designed to develop the incumbent into a Revenue Cycle Representative Three after training for two additional years of acceptable performance before promotion to a Business Office Two must be able to handle the complete functions of at least one Central Business Office Unit.
Qualifications
High School Diploma or general education degree (GED).
Two (2) years related experience; or equivalent combination of education and experience.
None (no licensure required by law).
Moderate knowledge of third party insurance in regards to plan types: HMO, PPO, POS, and Indemnity.
Moderate knowledge of the Medicare Program particularly as it relates to CPT and ICD9 coding CPT.
Through knowledge of Medicare Fraud and Abuse regulations.
Has the ability to financially counsel patients regarding their outstanding charges and effectively resolve problems while maintaining a positive public relations image for the practice.
Possesses moderate knowledge of Next Gen Practice Management system.
Possess full knowledge of HIPAA regulations.
Proficiency with computer systems used in the practice including Practice Management System, internet products that relate to office functions and Microsoft office systems available to the office.
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Responsibilities The Revenue Cycle Representative II is a multi-task position that covers all of the main functions of the Central Business Office.
Insurance Follow Up
Self-Pay Follow Up
Payment Posting
Account Correction and Adjustment
Answering Patient Account Inquiries
Monitoring Billing Errors and claim/line item rejections
Provide initial training in all duties of the Central Business Office in an elementary phase.
Position is designed to develop the incumbent into a Revenue Cycle Representative Three after training for two additional years of acceptable performance before promotion to a Business Office Two must be able to handle the complete functions of at least one Central Business Office Unit.
Qualifications
High School Diploma or general education degree (GED).
Two (2) years related experience; or equivalent combination of education and experience.
None (no licensure required by law).
Moderate knowledge of third party insurance in regards to plan types: HMO, PPO, POS, and Indemnity.
Moderate knowledge of the Medicare Program particularly as it relates to CPT and ICD9 coding CPT.
Through knowledge of Medicare Fraud and Abuse regulations.
Has the ability to financially counsel patients regarding their outstanding charges and effectively resolve problems while maintaining a positive public relations image for the practice.
Possesses moderate knowledge of Next Gen Practice Management system.
Possess full knowledge of HIPAA regulations.
Proficiency with computer systems used in the practice including Practice Management System, internet products that relate to office functions and Microsoft office systems available to the office.
#J-18808-Ljbffr