Revenue Cycle Representative @ Surgical Notes | Jobright.ai
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Surgical Notes · 1 day ago

Revenue Cycle Representative

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Responsibilities

Work through book of accounts receivable claims and develop plan for maintaining proper coverage on all accounts
Review aged accounts, trace and appeal unpaid and/or erroneously paid or denied accounts
Work all denials and underpayments received within 24 hours by researching steps previously taken and take additional action, as needed to resolve the claim
Obtain pre-authorizations as needed
Work tickler accounts daily to ensure overall health of client accounts receivable
Review and address correspondence daily, including emails from clients
Identify trends and inform client lead/manager, as appropriate
Escalate issues to client lead/manager, as appropriate
Other responsibilities as assigned

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medical BillingPayer DenialsSurgical ClaimsMS OutlookMS WordMS ExcelHealthcare BillingAncillary/Ambulatory Surgery CenterParagonAthenahealthMicrosoft TeamsIPAsHealth PlansElectronic Payor Follow-upInsurance Plans AnalysisFinancial Reports InterpretationLegal Documents InterpretationInterpersonal Abilities

Required

One year of experience working with a healthcare provider or an Associate’s Degree in Healthcare Management, Business Management or a related field
Experience with medical billing
Proven experience working payer denials including but not limited to commercial, government, out of network, workers compensation, and auto-vehicle
Experience working surgical claims
Proficient with MS Outlook, Word, and Excel
Ability to work independently and as part of a team
Strong attention to detail and speed while working within tight deadlines
Exceptional ability to follow oral and written instructions
A high degree of flexibility and professionalism
Excellent organizational skills
Strong interpersonal and persuasive abilities in order to secure accurate and timely payment from patients
Ability to work in a fast-paced environment
Outstanding communications skills; both verbal and written
Positive role model for other staff and patients by working with them to promote teamwork and cooperation
Ability to apply commonsense understanding and logic in day to day activities
Experience with healthcare billing and collections
A working knowledge of IPAs and health plans is required
Comfortable with electronic and manual payor follow-up
Able to quickly identify trends and escalate, as appropriate
Ability to read, analyze and interpret insurance plans, financial reports, and legal documents

Preferred

Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
Paragon and/or athenahealth experience
Strong Microsoft Office skills in Teams

Company

Surgical Notes

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Surgical Notes is a healthcare IT solutions company

Funding

Current Stage
Growth Stage
Total Funding
unknown
Key Investors
The CapStreet Group
2024-11-19Acquired
2019-08-11Private Equity

Leadership Team

D
Dominic Brignola
CFO
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H
Hilary Sondik
Executive Vice President of Operations
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Company data provided by crunchbase
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