Revenue Cycle Associate - REMOTE

This position is responsible for the resolution of outstanding and/or denied claims based on third party claim processing
rules within established timelines. The Revenue Cycle Associate reports to the central business office supervisor or
manager.

Key Responsibilities:
Meets goals and objectives in assigned area.
Complies daily with departmental policies and procedures.
Performs collection activity to ensure proper resolution and reimbursement on claims.
Provides thorough, courteous, and professional assistance to coworkers and patients.
Ensures that all claims are billed and collected and meet all government mandated policies for Integrity and
Compliance.
Collaborates with hospital departments in the resolution of accounts.
Resolves claims processing issues with third party payers and provide all required information timely; involves
patients and family members (where necessary) to ensure timely resolution of claims with insurance companies.
Resubmits clean and accurate claims to insurance companies in a timely and compliant manner.
Researches, prepares, and submits appeals to insurance companies.
Details all actions taken on account with clear and concise notes.
Monitors and recognizes denials and/or issues that may be trends and escalate to supervisor as needed; and
Maintain strict confidentiality and adhere to all HIPAA guidelines/regulations
Demonstrate excellent communication skills, both written and verbal.