Piedmont
Job 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 supports patient‑centered care and Customer Service by serving as a patient advocate during the life cycle of the account. The Rep III maintains productivity above the average standard identified by the Revenue Cycle Department and consistently achieves quality and accuracy above 90% when audited.
Key Responsibilities
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.
Advanced Functions: File Maintenance, System Support, Claims Edit Management, Claims Rejection Management, Front End Management, and Payment Variance Management.
Represent Piedmont Healthcare values of Compassion, Commitment, Service, Excellence and Balance and aim to be tiered in the top 1/3 of the department.
Qualifications
High School graduate or GED.
Minimum 5 years advanced performance in a physician billing revenue cycle or Central Business Office.
Advanced knowledge of third‑party insurance (HMO, PPO, POS, Indemnity) and Medicare Program (CPT, ICD‑9).
Thorough knowledge of Medicare Fraud and Abuse regulations.
Advanced knowledge of Practice Management System and ability to run standard reports.
Proficiency with computer systems used in the practice, including Practice Management System, Internet products, and Microsoft Office.
Knowledge of HIPAA regulations and ability to counsel patients financially regarding outstanding charges and resolve problems with highest customer service skills and etiquette.
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Key Responsibilities
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.
Advanced Functions: File Maintenance, System Support, Claims Edit Management, Claims Rejection Management, Front End Management, and Payment Variance Management.
Represent Piedmont Healthcare values of Compassion, Commitment, Service, Excellence and Balance and aim to be tiered in the top 1/3 of the department.
Qualifications
High School graduate or GED.
Minimum 5 years advanced performance in a physician billing revenue cycle or Central Business Office.
Advanced knowledge of third‑party insurance (HMO, PPO, POS, Indemnity) and Medicare Program (CPT, ICD‑9).
Thorough knowledge of Medicare Fraud and Abuse regulations.
Advanced knowledge of Practice Management System and ability to run standard reports.
Proficiency with computer systems used in the practice, including Practice Management System, Internet products, and Microsoft Office.
Knowledge of HIPAA regulations and ability to counsel patients financially regarding outstanding charges and resolve problems with highest customer service skills and etiquette.
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