Revenue Cycle Phone and Clerical Representative

Description

The Revenue Cycle Phone and Clerical Representative will play a crucial role in the financial aspect of patient care. This position involves providing patients with information and assistance on billing matters, facilitating communication within the revenue cycle department, and supporting administrative tasks. The ideal candidate will demonstrate strong interpersonal skills, attention to detail, and a basic understanding of medical billing procedures. They will exhibit great customer service skills both to external patients and internal coworkers.

REQUIRED:

• High school diploma/GED

Preferred:

• Associates in Medical Billing and Coding 

General: Performance Expectations

• Responsible - works independently, in a safe and appropriate manner. Demonstrates both problem-solving and problem-prevention skills.
• Sensitive - displays sensitivity to the needs of patients and co-workers. Demonstrates good communications skills and empathy.
• Timely - recognizes time as a customer's most valuable resource and responds promptly to patients' and co-workers' needs.
• Accurate - works carefully and precisely, with attention to detail.
• Coordinated - organizes and delivers service in the proper order. Displays good organization skills and utilizes resources wisely.
• Thorough - meets all the requirements of his/her position. Is able to evaluate and follow up on his/her services.

Role Specific: Work role responsibilities

• Patient Financial Assistance - Assist patients with questions regarding their bills and explain charges, how their insurance claims were processed, update changes or inaccuracies in insurance policies, calls to notify patients as a courtesy that their account is possibly going to be placed with a collection agency, and provide research needed to answer inquires made of the team by patients, providers, and other team members. Provide guidance on payment plans and collection accounts. 
• Billing Support - Perform basic medical billing tasks as assigned. Assisting with insuring correct coding of services rendered in collaboration with billing and coding teams. Answering coding and billing questions with information provided by billers and coders on the team. 
• Call Management - Answer all incoming calls to the revenue cycle department promptly and professionally. Resolve inquiries or direct calls to the appropriate team member for resolution through emails and messages. 
• Communication and Coordination - Serve as a liaison between patients and department staff for billing or coding issues. Address and close information requests related to billing or coding issues efficiently.
• Cash Handling and Reporting - Count and verify daily cash bags from various clinical departments and locations. Maintain accurate records of all transactions and assist Cashier with duties as assigned. 
• Clerical Support - Provide administrative support to the revenue cycle team, including filing, data entry, and document management. Make requests for documentation needed to complete appeals or reconsiderations. 

Requirements

• Minimum 1-3 years experience in medical office setting, multispecialty preferred. 
• Ability to follow specific instructions and set procedures to transfer data into computer.
• Working knowledge of medical terminology.
• Knowledge of insurance guidelines.
• Must be able to sit and work at a computer for long periods of time.
• Ability to establish effective working relationships with coworkers.
• Education in healthcare administration or related field is a plus.
• Basic knowledge of medical billing and coding.
• Strong customer service experience, particularly in handling inquiries and resolving issues timely and professionally. 
• Excellent communication skills, both verbal and written.
• Proficiency in office software and experience with Athena billing systems is advantageous.
• Ability to handle sensitive information with discretion and maintain confidentiality.