Revenue Cycle Representative

Overview

Join Ohio State University Physicians (OSUP), where excellence meets compassion. OSUP supports more than 1,800 team members across outpatient centers and is committed to advancing healthcare, education, and professional growth.

Responsibilities

• Process insurance billing tasks using knowledge of invoices, claims, insurance billing, collections, and medical terminology.
• Serve as a liaison between physicians, insurance companies, and third parties.
• Process and verify invoices, ensure payment of claims, and review insurance reimbursements.
• Track claims throughout the revenue cycle and identify issues affecting aging claims.
• Review and correct patient demographics, insurance information, diagnosis details, service information, authorizations, certifications, signatures, and eligibility data.
• Resolve payer 277 rejections and denials.
• Analyze EOBs for denials and irregularities and reprocess claims as needed.
• Investigate unpaid claims and resolve missing or conflicting patient information.
• Update work queues and invoices for collection activity.
• Reconcile accounts and adjust balances for denials, payments, and other modifications.
• Identify revenue-impacting trends and communicate them to management.
• Support A/R research projects and provide status updates to the manager.
• Perform other duties and special projects as assigned.