Let’s get started
By clicking ‘Next’, I agree to the Terms of Service
and Privacy Policy
Jobs / Job page
Revenue Cycle Regional Rep 2 image - Rise Careers
Job details

Revenue Cycle Regional Rep 2

Position SummaryProficient in Revenue Cycle Regional Representative 1. Responsible for handling escalated account and payer issues. Handles complex edits, appeals and account activities such as advanced level tasks, bankruptcies, Risk Management. Acts as a billing and reimbursement expert for a defined payer product line.QualificationsEDUCATIONAL REQUIREMENTSAssociate's degree preferred.Certification & Licensure RequirementsNone specifiedExperience RequirementsOne year customer service experience in health care required or a high performer as an Rev Cycle Regional Representative 1. Credit and collection experience preferred. Proficient computer knowledge related to Microsoft Office applications such as Word, Excel, Outlook and Receivables Management systems.Skills And KnowledgePossesses the "other knowledge and skills" of the Revenue Cycle Regional Representative 1. Knowledge of basic medical coding and third-party operating procedures and practices with proficiency in EncoderPro.Essential Functions• Must be able to perform essential job functions of Revenue Cycle Regional Representative 1.• Handles complex edits, correspondence and advanced level workqueues such as but not limited to retro review, EOB balancing, credit adjustment review and processing of Illinois Workers’ Compensation Commission (IWCC).• Handles escalated account activities such as but not limited to healthcare liens, settlement requests, workers’ compensation reimbursement computation forms and attorney requests.• Handles escalated appeals.• Assists with training and education to staff for accuracy.• Identifies payer and system issues to initiate project requests for process improvements.• Assists in credit balance review according to organization’s credit balance/refund policy.• Attends and participates in meetings with payer specific provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus.We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.

Average salary estimate

Estimate provided by employer
$145000 / ANNUAL (est.)
min
max
$50K
$240K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

Carle relies on all types of talented professionals to fulfill our mission, of serving people through high quality care, medical research and education, so no matter what your expertise – from clinical to support, administrative to professional – ...

13 jobs
MATCH
Calculating your matching score...
FUNDING
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
EMPLOYMENT TYPE
Full-time, on-site
DATE POSTED
September 17, 2024

Subscribe to Rise newsletter

Risa star 🔮 Hi, I'm Risa! Your AI
Career Copilot
Want to see a list of jobs tailored to
you, just ask me below!