Revenue Cycle Representative II

Role Description

The Senior Business Office Representative is a multi-task position that covers all of the main functions of the Central Business Office. The Business Office Representative Two has displayed the skill to accurately handle at least one unit function of the Central Business Office for at least two years. Included in these duties but not limited to:

• Insurance Follow Up
• Self-Pay Follow Up
• Payment Posting
• Account Correction and Adjustment
• Answering Patient Account Inquires
• Monitoring Billing Errors and claim/line item rejections

Provide initial training in all duties of the Central Business Office in an elementary phase. Position is designed to develop the incumbent into a Business Office Representative Three after training for two additional years of acceptable performance before promotion to a Business Office Two must be able to handle the complete functions of at least one Central Business Office Unit.

Qualifications

• High School Diploma or general education degree (GED)
• Two (2) years related experience; or equivalent combination of education and experience
• No minimum licensure/certification required by law

Requirements

• Moderate knowledge of third party insurance in regards to plan types: HMO, PPO, POS, and Indemnity
• Moderate knowledge of the Medicare Program particularly as it relates to CPT and ICD9 coding
• Through knowledge of Medicare Fraud and Abuse regulations
• Ability to financially counsel patients regarding their outstanding charges and effectively resolve problems while maintaining a positive public relations image for the practice
• Possesses moderate knowledge of Next Gen Practice Management system
• Full knowledge of HIPAA regulations
• Proficiency with the computer systems that are used in the practice including Practice Management System, Internet products that relate to office functions and Microsoft office systems available to the office

Company Description

Business Unit: Company Name

Piedmont Healthcare Corporate