Revenue Cycle Representative II

Responsibilities

• The Senior Business Office Representative is a multi-task position that covers all of the main functions of the Central Business Office.
• The Business Office Representative Two has demonstrated the skill to accurately handle at least one unit function of the Central Business Office for at least two years.
• Included in these duties but not limited to:
  Insurance Follow Up, Self-Pay Follow Up, Payment Posting, Account Correction and Adjustment, Answering Patient Account Inquiries, and Monitoring Billing Errors and claim/line item rejections.
• Provide initial training in all duties of the Central Business Office in an elementary phase. The position is designed to develop the incumbent into a Business Office Representative Three after training for two additional years of acceptable performance before promotion to a Business Office Two; must be able to handle the complete functions of at least one Central Business Office Unit.

• MINIMUM
  
  EDUCATION REQUIRED:
  
  High School Diploma or GED.
• Minimum Experience
  
  Required:
  
  Two (2) years related experience; or equivalent combination of education and experience.
• Minimum Licensure/Certification Required By Law:
  None
• Additional Qualifications:
  
  Moderate knowledge of third party insurance in regards to plan types: HMO, PPO, POS, and Indemnity. Moderate knowledge of the Medicare Program particularly as it relates to CPT and ICD9 coding CPT. Thorough knowledge of Medicare Fraud and Abuse regulations. Ability to financially counsel patients regarding their outstanding charges and effectively resolve problems while maintaining a positive public relations image for the practice.
  
  Possesses moderate knowledge of Next Gen Practice Management system. Possess full knowledge of HIPAA regulations. Proficiency with the computer systems used in the practice including Practice Management System, Internet products related to office functions and Microsoft Office.