Revenue Cycle Support Representative

Essential Job Duties

• This role requires a versatile and well-developed knowledge of billing, collections, technical denials appeal/correction.
• Foster and maintain critical working relationships with clients, payers, and cross functional internal stakeholders, ensuring accurate billing and collections while serving as Revenue Cycle support representative.
• Proactively identify opportunities for improved reimbursement and address any issue related to payer and provider collections across all markets.
• Support Accounts Receivable A/R reconciliation by efficiently managing processing claims.
• Oversee revenue cycle activities to achieve benchmarks, ERA enrollments and troubleshooting X 12 N 837i/p files in conjunction with 999/277 responses.
• Knowledge of Professional and UB04 billing and electronic claims processing.
• Proficiency with mapping, testing and maintenance of electronic interfaces between healthcare software platforms and third-party vendors, including clearing houses. These interfaces will occur in different formats that may include text, csv, and XML.
• Ability to work in a deadline-driven environment and manage multiple projects simultaneously.
• Adhere to standardized policies and procedures.
• Review Revenue Cycle systems, including third party payer solutions.
• Able to support customers through Omnichannel/multichannel support offerings.
• Identify and relay opportunities for improvement externally and internally relating to application flow, required tools sets and operational procedures.

Other Job Duties

• Other duties assigned by supervisor or HHAeXchange leader.

Travel Requirements

• None

Required Education, Experience, Certifications and Skills

• Minimum 2-4 years of Revenue Cycle and/or technical experience
• Healthcare industry and billing experience.
• Homecare knowledge a plus.
• Comfortable speaking with and troubleshooting clients claim issues over the phone, Chat, or ticketing solutions.
•  Ability to utilize remote desktop sharing applications.
• Exemplary attention to detail and strong organizational skills required.
• Exceptional written, verbal, and interpersonal communication skills required.
• Exceptional Customer service aptitude, with the ability to thrive under pressure.
• Ability to multi-task and pivot with changing priorities.
• Proficiency in computer applications, particularly the Microsoft Office suite, with a focus on Excel.
• Experience working with CRM tools such as Jira, Salesforce Service cloud and applications.
• Knowledge and experience working with X12N 837i/837p Claim Files, 835 Remittance Files, 999 responses and 277ca for all payers in various states, including Medicaid.
• Competency in both independent work and collaborative teamwork
• AAPC/CRCR/CRCP certification a plus.
• Deliver positive internal and external clients experience.