Revenue Cycle Regional Rep 3 + Department: Revenue Cycle - CFH_10_19 + Entity: Bloomington-Normal Service Area + Job Category: Clerical/Admin + Employment Type: Full - Time + Job ID: 45917 + Experience Required: 3 - 5 Years + Education Required: Associates Degree + Shift: Day + Location: Urbana, IL + Usual Schedule: M-F 8am - 4:30pm + On Call Requirements: No + Work Location: Working from Home + Weekend Requirements: No + Holiday Requirements: No Email a Friend Save Save Apply Now Position Summary: Proficient in Revenue Cycle Accounts Receivable Representative 2 responsibilities. In addition, serves as an expert resource for escalated account activities for multiple payer product lines. Represents Carle in external accounts receivable efforts (examples: court appearances, fair hearings, meetings with employers and insurance companies). Assists with mentoring, training and observing staff for quality assurance. Assists with creating training materials and process flows. Participates in projects. Involved in system testing and development. Builds and analyzes management summary reports. Serves as a liaison with third party vendors assisting with collection of accounts receivable. Qualifications: EDUCATIONAL REQUIREMENTS Associate's degree required. CERTIFICATION & LICENSURE REQUIREMENTS CLEF/Front Line Leader certification may be required at Manager's discretion. Notary may be required at Manager's discretion. EXPERIENCE REQUIREMENTS Two (2) years of experience in health care with focus in healthcare business office operations and customer service required or a high performer as an Rev Cycle Regional Representative 2. Proficient in Microsoft Office applications such as Word, Excel, Outlook, Access, Visio and Receivables Management systems. ADDITIONAL REQUIREMENTS + CLEF/Front Line Leader certification may be required at Manager's discretion. Notary may be required at Manager's discretion. SKILLS AND KNOWLEDGE Possesses the "other knowledge and skills" of the Revenue Cycle Regional Representative 2. Requires negotiation and listening skills. Essential Functions: + Must be able to perform essential job functions of Revenue Cycle Regional Representative 2. + Assists with developing policies and procedures, training materials and process flows to ensure best practice. + Mentors, trains, observes and educates staff for quality assurance. + Facilitates maximization of revenue by ensuring correct coding initiative and payer specific guidelines are applied appropriately and claims are appealed as necessary. + Performs quality review and approves all user generated letters. + Assists with daily department flow; ensures appropriate staffing and optimal productivity levels. + Handles escalated patient, provider and third party issues in absence of a supervisor. + Monitors dashboard for assigned payers. Analyzes AR and optimizes collection of accounts receivable. + Participates in system testing and development related to system upgrades and process improvements. + Assists in evaluation of billing opportunities related to new technology and/or services. + Builds and analyzes management reports to identify patterns and trends and recommends opportunities for improvement. + Participates in projects. + Conducts team meetings and provides direction to team members. + Represents Carle in external venues such as court appearances, fair hearings, meeting with employers, attorneys, insurance companies, community events etc. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com. Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.