Overview
Ohio State University Physicians is seeking a Revenue Cycle Representative to support insurance billing, claims follow-up, reimbursement, and denial resolution within the revenue cycle.
Responsibilities
- Review and correct patient demographics, insurance details, diagnosis and service information, authorizations, certifications, signatures, and eligibility data for insurance billing.
- Resolve payer 277 rejections, denials, and follow-up issues.
- Analyze EOBs for denials and irregularities, reprocess claims, and take appropriate corrective action.
- Investigate and resolve unpaid claims to help maximize reimbursement.
- Research and correct missing or conflicting patient information for denied claims or special processing needs.
- Update work queues and invoices for collection activity.
- Reconcile accounts and adjust balances for denials, payments, adjustments, and other modifications.
- Identify revenue-impacting trends and communicate issues to management.
- Support A/R research projects and provide status updates to leadership.
- Perform other duties and special projects as assigned.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent.
- Two or more years of medical billing experience, or an equivalent combination of education and experience.
- Knowledge of insurance carrier payment policies, practices, and reimbursement amounts.
- Strong organizational and problem-solving skills with the ability to manage multiple priorities.
- Effective verbal and written communication skills.
- Ability to work under time pressures and interact professionally with all levels of the organization.
- Preferred experience with Epic, clearinghouse vendors, and imaging software systems.
Benefits & Perks
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Health reimbursement accounts
- Flexible spending accounts
- Retirement plan
- Employee assistance program
- Paid time off
- Holidays
- Wellness program
Location
Columbus, Ohio, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago
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