Billing Rep II

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.  

The Billing Representative is engaged in the tracking of claims through the billing process, to identify problem areas, and to determine a course of action to resolve aging claims. Follows all policies and procedures as outlined by the company and/or governmental regulations and according to HIPAA regulations.
Responsibilities:
• Responsible for working correspondence on a daily basis – to accurately update accounts with the provided information

• Responsible for payment posting and credit resolutions

• Responsible for identifying trends which impact revenue and determine best course of action to resolve outstanding accounts
• Interact with third parties representative and utilize online sites to review status and update accounts as needed to expedite the claims process
• Interact with manager and team members regarding A/R research results
• Responsible for the follow up on A/R research projects; review status of accounts, action taken, and further course of action if warranted
• Provide updates to manager with findings from A/R research and status of A/R projects
• Perform other duties as directed by manager
• Responsible for processing attorney correspondence and requests – timely and accurately
• Compliance with R1 policies
• Other duties as assigned

Required Skills/Qualifications:

• High School Diploma or equivalent required

• 1 year of Medical Records, Insurance Billing, AR experience required

• Logical and efficient, with keen attention to detail required

• Experience working in a team-oriented, collaborative environment required

• Basic computer operating skills required

• Able to manage multiple concurrent tasks required

• Highly self-motivated and directed required

• Knowledge of applicable data privacy practices and laws required

• Ability to effectively prioritize and execute tasks while under pressure required
• Excellent listening, interpersonal, written, and oral communication skills required
• Flexible to handle unexpected daily challenges required
• Very strong written and verbal communication skills required

• Ability to safely and successfully perform essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards required

Preferred Skills/Qualifications:

• 1 year of experience with Athena preferred

• 1 year of experience with Sorian preferred

• 1 year of experience handling diagnostic test results preferred

• 1 year of experience with medical terminology preferred