The Revenue Cycle Representative I & II is part of the internal back-end revenue cycle team supporting patient-facing and account-level financial functions not handled by the outsourced revenue cycle vendor.
This role is responsible for work queue oversight and resolution, revenue cycle pool/chat management, legacy A/R work, unapplied payment research, patient escalation calls, patient accounts receivable follow-up, payment posting and reconciliation, patient payment plan administration, refund management, and referral/prior authorization coordination.
The position helps ensure accurate, compliant handling of patient accounts while supporting cash flow, patient satisfaction, and regulatory compliance goals.
Key responsibilities include:
- Monitor and manage payment plans, including missed or late payments.
- Review and work assigned queues daily within productivity and turnaround standards.
- Research account holds, edits, denials, and credit balances.
- Reconcile unapplied and unidentified patient payments.
- Correct payment application issues and process transfers or reapplications.
- Handle escalated patient billing calls and complaints.
- Work patient A/R aging and initiate follow-up for balances due.
- Process adjustments, corrections, reconciliations, and refunds within authority levels.
- Evaluate accounts for financial assistance, hardship, or write-off eligibility.
- Document all actions accurately in the practice management/EHR system.
High school diploma or equivalent required.
Preferred background includes an associate degree or coursework in healthcare administration, business, or a related field.
RCR I: 0-2 years of experience in medical billing, collections, patient access, or a related healthcare revenue cycle role.
RCR II: Minimum 2 years of progressive revenue cycle experience, including patient A/R, collections, or payment plan administration.
Required skills and knowledge:
- Working knowledge of healthcare billing, insurance terminology, EOB/remittance interpretation, and patient financial responsibility concepts.
- Proficiency with practice management/EHR systems, work queue tools, and Microsoft Office, especially Excel.
- Strong verbal and written communication skills with the ability to de-escalate difficult patient conversations.
- Sound judgment in applying financial assistance, adjustment, and collection policies.
- Detail-oriented organization and time-management skills.
- Understanding of HIPAA, CMS, and applicable billing/collections regulations.
- Ability to collaborate with internal teams and external partners.
Preferred certifications:
- Certified Revenue Cycle Representative (CRCR)
- Certified Patient Account Representative (CPAR)
- Certified Professional Biller (CPB)
Location
Arlington, Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago