Carle Health · 14 hours ago
Rev Cycle Denials Recv Rep 2 - Non-Govt
Champaign, IL
Full-time
Onsite
Mid Level
$16.73/hr - $27.10/hrCarle Health is a healthcare system based in Urbana, IL, with a large team dedicated to providing quality care. The Revenue Cycle Denials Receivable Representative 2 is responsible for handling escalated account and payer issues, managing complex edits and appeals, and acting as a billing expert for a defined payer product line.
Hospital & Health Care
Responsibilities
Must be able to perform essential job functions of Revenue Cycle Accounts Receivable Representative 1
Handles complex edits, correspondence and advanced level workqueues such as but not limited to retro review, EOB balancing, credit adjustment review and processing of Illinois Workers’ Compensation Commission (IWCC)
Handles escalated account activities such as but not limited to healthcare liens, settlement requests, workers’ compensation reimbursement computation forms and attorney requests
Handles escalated appeals
Assists with training and education to staff for accuracy
Identifies payer and system issues to initiate project requests for process improvements
Assists in credit balance review according to organization’s credit balance/refund policy
Attends and participates in meetings with payer specific provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus
Qualification
Required
Proficient in Revenue Cycle Denials Receivable Representative 1
Responsible for handling escalated account and payer issues
Handles complex edits, appeals and account activities such as advanced level tasks, bankruptcies, Risk Management
Acts as a billing and reimbursement expert for a defined payer product line
Must be able to perform essential job functions of Revenue Cycle Accounts Receivable Representative 1
Handles complex edits, correspondence and advanced level workqueues such as but not limited to retro review, EOB balancing, credit adjustment review and processing of Illinois Workers' Compensation Commission (IWCC)
Handles escalated account activities such as but not limited to healthcare liens, settlement requests, workers' compensation reimbursement computation forms and attorney requests
Handles escalated appeals
Assists with training and education to staff for accuracy
Identifies payer and system issues to initiate project requests for process improvements
Assists in credit balance review according to organization's credit balance/refund policy
Attends and participates in meetings with payer specific provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus
Benefits
Comprehensive benefits package
Company
Carle Health
Carle Health is a vertically integrated system with a bold but simple mission: to be the trusted partner in all healthcare decisions for everyone who depends on it.
Founded in 1946
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Matthew Kolb
Executive Vice President, Chief Operating Officer
Dawn Walden
Senior Vice President, Chief Revenue Cycle Officer
Recent News
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