Revenue Cycle Representative

Job Summary

A company is looking for a Revenue Cycle Representative - Reconsiderations RCM.

Key Responsibilities

• Ensure timely reimbursement by coordinating provider invoice activities using various tools
• Research and resolve claim denials, preparing corrections and appeals
• Verify patient eligibility and benefits using payer databases and medical documentation

Required Qualifications

• High school diploma or equivalent
• Minimum of two years of experience in medical claims processing and reimbursement
• Working knowledge of healthcare collections procedures and claims processing software
• Knowledge of HIPAA regulations and medical billing and coding standards
• Intermediate proficiency in Microsoft Office applications