Ohio State University Physicians · 17 hours ago
Revenue Cycle Representative
Columbus, OH
Full-time
Onsite
Entry Level
$17.84/hr - $26.76/hr
2+ years expOhio State University Physicians is committed to advancing healthcare through exceptional patient care and a collaborative work environment. The Revenue Cycle Representative will manage insurance billing processes, act as a liaison between physicians and insurance companies, and ensure timely payment of claims while adhering to regulations and internal policies.
Hospital & Health Care
Responsibilities
Reviews, verifies, obtains and corrects patient demographics and insurance information, medical diagnosis, laboratory and other diagnostic services information, hospital service, applicable dates, required authorizations and certifications, signatures, and other information related to preparation and processing of insurance bills, and eligibility of coverage
Provides problem resolution on payer 277 rejections and denials and follow-up on issues as needed
Coordinates and analyzes EOB’s for denials and irregularities, institutes appropriate actions, and reprocesses claims in accordance with Company policy
Investigates and resolves unpaid claims timely to accurately maximize reimbursement
Research and resolves missing or conflicting patient information; requests completion of additional forms or information for denied claims or special processing requirements
Updates work queue and invoices for collection activity according to Department guidelines
Accurately reconciles accounts; adjusts balances to reflect denials, adjustments, payments and other modifications to balances
Responsible for identifying trends which impact revenue, communicates identified issues and trends to management. Participates in analysis and solutions to reduce and resolve denials
Responsible for the follow up on A/R research projects; review status of accounts, action taken, and further course of action if warranted; provides updates to manager regarding status of A/R projects
Provides problem resolution on denials and follow-up issues as needed
Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients
Other duties or special projects as assigned
Qualification
Required
High School diploma or equivalent with two or more years of medical billing experience; or equivalent combination of education and experience
Knowledge of insurance carrier payment policies, practices and amounts
Evidence of organizational and problem-solving skills, and ability to manage multiple priorities
Ability to effectively communicate both verbally and in writing
May be required to work under time pressures or demanding requests from various staff members and departments
Must be able to interact and communicate with individuals at all levels of the organization
Preferred
Experience with EPIC, Clearinghouse Vendors and Imaging software systems
Benefits
Medical
Dental
Vision
Health reimbursement accounts
Flexible spending accounts
Retirement
Employee assistance program
Paid time off
Holidays
Wellness program
Company
Ohio State University Physicians
Ohio State University Physicians is the medical group managing The Ohio State University Wexner Medical Center, creating a fully integrated, high-performing practice.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Karrie Jordan, MBA
Human Resources Business Partner II
Lori Oberholzer
Chief Compliance Officer
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