Revenue Cycle Representative at PCC Community Wellness Center

Oak Park, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Sep, 26

Salary

23.0

Posted On

07 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Accounts Receivable, CMS 1500 Claims, Athena EHR, Medical Billing, Dental Billing, Claim Resolution, EOB Interpretation, Medicaid/Managed Care Plans, HIPAA Compliance, Financial Reporting, Credentialing Tracking, Medical Coding, Microsoft Office, Availity Clearinghouse, Patient Data Accuracy

Industry

Hospitals and Health Care

Description

Job DetailsJob Location: Lake Street Family Health Center - OAK PARK, IL 60302Position Type: Full TimeEducation Level: High School/GEDSalary Range: $20.50 - $23.00 HourlyTravel Percentage: NoneJob Category: Admin - ClericalJob Summary: Responsible for performing revenue cycle functions for all medical and/or dental claims for PCC Community Wellness Center, to ensure accurate, timely claim follow up for aged accounts. The Revenue Cycle Rep works collaboratively with Providers, Care Coordinators, Operations, and Revenue Cycle leadership to eliminate department bottlenecks and waist while increasing cash flow and promoting revenue growth. Essential Duties and Responsibilities: 1. Continually monitor claim volume and aging. Actively follow up on aged pending claims that require resolution or next action for payment for assigned facilities 2. Review, resolve and release claims within 48 hours of claim creation date for assigned facilities 3. Review and resolve 100 claims daily (minimum); yielding reimbursement daily for assigned facilities 4. Resolve state funded claims prior to 180 days outstanding, perform A/R functions on older dates of service with sense of urgency for assigned facilities 5. Resolve federal funded claims prior to 365 days outstanding, perform A/R functions on older dates of service with sense of urgency for assigned facilities 6. Resolve commercial funded claims prior to 90 days outstanding, perform A/R functions on older states of service with a sense of urgency for assigned facilities 7. Initiates write off requests for claims for timely monthly processing for assigned facilities 8. Monitor global transaction report to eliminate incorrect claims adjustments, promoting accurate and timely claim submission for reimbursement for assigned facilities 9. Maintains DSO of

Responsibilities

Responsible for managing medical and dental revenue cycle functions to ensure timely claim follow-up and increased cash flow. This includes resolving aged claims, monitoring claim volume, and collaborating with providers to eliminate billing bottlenecks.