The Revenue Cycle Representative I is responsible for reconciliation of TOS payments for all front end medicine practices, IDX dictionary maintenance, assisting with Federal and Managed Care credentialing and assisting with revenue cycle special projects.
Responsible for reconciliation of TOS deposits against logs, batches and receipts.
Ensuring all GE/IDX posting reconciles bank deposits and credit card transactions
Ensure all Front end batches are closed by month end.
Responsible for assisting with setups of Electronic Funds Transfer, Electronic Remittance Statements and Electronic Submissions as required by carrier and FPO policies and procedures.
Report credentialing issues or discrepancies regarding any provider information.
Minimum of one-year experience in a physician billing or third party payor environment. Proficiency in health insurance benefits and eligibility requirements.
GE/IDX experience or comparable professional billing system.
Knowledge of insurance plans and all lines of business, insurance billing requirements, worker’s compensation, Medicare and Medicaid.
Good interpersonal, verbal, telephone and written communication skills in the English language.
Functional knowledge of basic computer operation and keyboard functions.
High school graduate or GED certificate.
Ability to follow-through and handle multiple tasks simultaneously.
Ability to work independently.
Must be a motivated individual with a positive attitude and exceptional work ethic.
Experience with Electronic Medical Record, preferably Allscripts software preferred.
Other Computer Software Skills such as Eagle, Microsoft Work, Excel and Email preferred.