Revenue Cycle Representative
The Revenue Cycle Representative (RCR) is responsible for working with insurance companies, third-party payers, and patients to resolve insurance balances of MediRevv Clients in an accurate and precise manner. As part of the MediRevv team you will be expected to solve problems and meet your goals while being rewarded with the benefits of a stable and growing company.
Job Duties
An effective candidate will exemplify the MediRevv Mindset by helping the organization on a whole achieve balance between partners, people, and performance.
- Demonstrate service excellence at all times to Clients (external Partners), insurance companies/payers (external Partners), and colleagues (internal Partners)
- Represent MediRevv Clients with high levels of professionalism and a quality work product
- Comply with MediRevv policies such as time and attendance to ensure appropriate coverage for MediRevv Clients
- Follow up with insurance companies through phone or internet regarding the status of outstanding claims and necessary steps for resolution
- Research payer rules and regulations to maintain current payer knowledge
- Compose correspondence including claim forms, appeals, and notifications to applicable parties
- Contact and educate patients and guarantors regarding necessary steps to resolve an outstanding insurance balance while providing exemplary customer service
- Comply with HIPAA and other compliance requirements at all times to protect patient confidentiality
- Collaborate with colleagues by sharing information, assisting with the onboarding of new team members, and fostering a supportive environment
- Meet productivity metrics as established by MediRevv leadership; a tenured RCR will be expected to work 40-75 accounts per day
- Maintain high levels of accuracy and quality as outlined by both the MediRevv Quality Assurance program and all MediRevv Client protocols
- Adhere to benchmarks and strive for continuous improvement on metrics such as touches to resolution, appeal resolution rate, and average work time per claim
- Efficiently navigate several computer applications; document all actions taken in appropriate MediRevv and/or Client systems
Job Requirements – Knowledge, Skills, and Abilities
A successful candidate must have proficient knowledge/capabilities in the following areas:
- Ability to consistently foster positive and professional interactions
- Medical billing and/or customer service experience preferred
- Bachelor’s degree desired, or any equivalent combination of education and experience
- Ability to perform at a high level of productivity and quality
- Capacity to maintain a high level of accuracy
- Excellent written and oral communication skills required to represent MediRevv Clients
- Demonstrated Computer skills including proficiency with Microsoft Office Suite
- Skills to work independently and be resourceful with the ability to multitask
Medirevv Employee Testimonials
“I’m a problem solver and enjoy researching insurance denials to resolve hospital and physician accounts… and I make people smile!” – MediRevv Revenue Cycle Representative
“I make a difference in the lives of patients every day by reviewing insurance accounts and following up with payers to resolve balances. I always stay flexible to meet MediRevv Client needs.” – MediRevv Revenue Cycle Representative