Full Cycle Revenue Cycle Rep (CPC Certified)

Prestigious Physician Group in Georgia looking for a Full Cycle Revenue Cycle Rep

Prestige Staffing has been tasked by one of our best clients to find a Full Cycle Revenue Cycle Rep to interview and go to work ASAP! Candidate must be hard working and a self starter. If you want the opportunity to work in a rewarding and dynamic environment, this is your chance. This is a temporary to permanent position. 

Responsibilities:

• Review patient bills for accuracy and completeness and obtain any missing information

• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing

• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid

• Follow up on unpaid claims within standard billing cycle timeframe

• Check each insurance payment for accuracy and compliance with contract discount

• Call insurance companies regarding any discrepancy in payments if necessary

• Identify and bill secondary or tertiary insurances

• All accounts are to be reviewed for insurance or patient follow-up

• Research and appeal denied claims

Qualifications and Skills:

• Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.

• Minimum of 4 years of experience in medical billing/collections

• Use of computer systems, software, 10 key calculator

• Effective communication with insurance payers to resolve issues

• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds

• Able to work in a team environment

• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections

• Knowledge of medical terminology likely to be encountered in medical claims

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