Revenue Cycle Representative (Fully Remote)

The Revenue Cycle Representative role is a fantastic way to begin a career with us!  

• Insurance, billing, and/or customer service experience preferred. 
• Epic and Cerner experience is a plus!

• Title:                            Representative, Revenue Cycle                
• Wage Category:          Hourly, Non-Exempt
• Salary Range:             Commensurate with experience and geographical location
• Reports to:                  Supervisor, Revenue Cycle

Job Statement

A Revenue Cycle Representative is responsible for all accounts receivable billing, collections and follow up activity to optimize cash flow and reduce bad debt.

Job Duties

An effective Revenue Cycle Representative will exemplify the MediRevv Mindset by helping the organization on a whole achieve balance between partners, people, and performance through:  

• Resolve payer rejections and denials through the appeals process as required by each payer.
• Follow up with insurance companies regarding the status of outstanding claims and necessary steps for resolution. 
• Answer and review pertinent insurance correspondence to insure complete and accurate reimbursement for medical claims.
• Meet or exceed productivity and quality metrics. 
• Responsible for working payer correspondence, edits and aged account receivable and identifying and correcting billing errors. 
• Research payer rules and regulations to maintain current payer knowledge. 
• Compose correspondence including claim forms, appeals, and notifications to applicable parties. 
• Contact and educate patients and guarantors regarding necessary steps to resolve an outstanding insurance balance while providing exemplary customer service. 
• Complies with HIPAA and other compliance requirements to protect patient confidentiality. 
• Adhere to benchmarks and strive for continuous improvement on metrics such as touches to resolution, appeal resolution rate, and average work time per claim. 
• Efficiently navigate several computer applications; document all actions taken in appropriate MediRevv and/or client systems. 
• Other innovative or progressive duties as assigned

Job Requirements – Knowledge, Skills and Abilities 
A successful candidate must have proficient knowledge/capabilities in the following areas:

• 1 year of high-volume insurance, denials and appeals, patient collections, or customer service experience preferred
• Ability to perform at a high level of productivity and quality.  
• Excellent written and oral communication skills  
• Computer skills including proficiency with Microsoft Office Suite. 
• Cerner or EPIC experience preferred
• Skills to work independently and be resourceful with the ability to multitask. 

Remote Work Requirements 

To be considered for a fully-remote position, there are technological requirements you must meet:

• Internet capability must be a hard-wired, high-speed broadband internet connection, DSL, or Cable. Satellite, Dial Up, and/or Wireless connections are not allowed. Your internet connection must be strong enough to operate MediRevv equipment and software:
• 25 Mbps download/3Mbps upload preferred
• 10 Mbps download/1Mpbs upload minimum
• Based on job role and equipment supplied, you must be able to connect MediRevv equipment to an internet router/box via wired (Ethernet) cable. You are expected to confirm this need and capability before your hire date/training date/first day of work.
• Able to establish a secure, secluded working environment ensuring both HIPAA compliance and ability to work during scheduled work hours without distractions/interruptions. 

Equal Opportunity Employment Statement

MediRevv is an EEO/AA Employer. M/F/Veteran/Disability. We strongly encourage minorities, veterans, and individuals with disabilities to apply for openings with us.