Revenue Cycle Rep II (Physician Denials)

Description:

RESPONSIBLE FOR:
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, and 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:

MINIMUM EDUCATION REQUIRED:
Require High School Diploma or general education degree (GED).

MINIMUM EXPERIENCE REQUIRED:
Two (2) years related experience; or equivalent combination of education and experience.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None

ADDITIONAL QUALIFICATIONS:
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 CPT. Through knowledge of Medicare Fraud and Abuse regulations. Has the 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. Possess full knowledge of HIPAA regulations. This job requires 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.