Revenue Cycle Representative II

MultiCare Health System•Yakima, WA

1d•$21 - $30

About The Position

You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. FTE: 1.0, Shift: Day, Schedule: Monday - Friday, 8:00am - 5:00pm, 8-hour shifts, No weekends or holidays Position Summary Provides patient revenue management support throughout the revenue cycle, to include but not limited to: billing and collections, cash management and payment posting, and charge capture. ESSENTIAL RESPONSIBILITIES Payment Posting Rep II • Uses critical thinking skills to determine proper application of payments and adjustments. • Accurately calculates manual and electronic payer remittance data. • Accurately completes timely system entry of payments and adjustments. • Analyzes and monitors payer remittances, identifies inappropriate payer payments and adjustments. • Processes and performs patient refunds daily. • Completes research on payment and adjustment discrepancies, contacting the appropriate parties for resolution. Identifies areas where system rules could enhance productivity with remittance response rules. • Performs accurate record keeping and balancing procedures. • Performs other related work and support activities as needed. • Continually seeks innovative ways to improve process, procedures and workflows, and actively learns new processes. • Achieves set key performance indicator targets. Patient Financial Specialist Rep II • Performs efficient, timely and accurate follow-up of account activity. • Works guarantor credit balance worklists and refund guarantors when appropriate. • Works low dollar payment arrangement and initiates calls to negotiate higher payment plans. • Works new patient account balances where an existing payment arrangement is in place and update terms. • Calls patients proactively who are delinquent on their payment arrangement accounts to prevent accounts from bad debt collection process or offer financial assistance. • Initiates and coordinates timely placement of accounts to bad debt agency. • Relieves the Receptionist and Customer Service team when coverage is short. • Assists with Financial Application processing as needed. • Continually seeks innovative ways to improve process, procedures and workflows, and actively learns new processes. • Achieves set key performance indicator targets. Health Information Management Rep II • Processes medical records fax requests. • Scans medical records into electronic medical record system. • Processes release of information requests. • Processes Birth Information sheets. • Performs chart deficiency analysis. • Schedules audit/vendor requests. • Manages in-error process. • Processes patient amendment requests. • Continually seeks innovative ways to improve process, procedures and workflows, and actively learns new processes. • Achieves set key performance indicator targets. Insurance Team Rep II • Processes insurance verifications and authorizations. • Continually seeks innovative ways to improve process, procedures and workflows, and actively learns new processes. • Achieves set key performance indicator targets. • Obtains insurance benefits. • Verification of insurance and authorization. • Determines patient’s financial responsibility.

Requirements

High School diploma or GED equivalent required.

Nice To Haves

Experience in a medical office setting preferred.
Understanding of medical terminology and medical coding preferred.

Responsibilities

Uses critical thinking skills to determine proper application of payments and adjustments.
Accurately calculates manual and electronic payer remittance data.
Accurately completes timely system entry of payments and adjustments.
Analyzes and monitors payer remittances, identifies inappropriate payer payments and adjustments.
Processes and performs patient refunds daily.
Completes research on payment and adjustment discrepancies, contacting the appropriate parties for resolution.
Identifies areas where system rules could enhance productivity with remittance response rules.
Performs accurate record keeping and balancing procedures.
Performs other related work and support activities as needed.
Continually seeks innovative ways to improve process, procedures and workflows, and actively learns new processes.
Achieves set key performance indicator targets.
Performs efficient, timely and accurate follow-up of account activity.
Works guarantor credit balance worklists and refund guarantors when appropriate.
Works low dollar payment arrangement and initiates calls to negotiate higher payment plans.
Works new patient account balances where an existing payment arrangement is in place and update terms.
Calls patients proactively who are delinquent on their payment arrangement accounts to prevent accounts from bad debt collection process or offer financial assistance.
Initiates and coordinates timely placement of accounts to bad debt agency.
Relieves the Receptionist and Customer Service team when coverage is short.
Assists with Financial Application processing as needed.
Processes medical records fax requests.
Scans medical records into electronic medical record system.
Processes release of information requests.
Processes Birth Information sheets.
Performs chart deficiency analysis.
Schedules audit/vendor requests.
Manages in-error process.
Processes patient amendment requests.
Processes insurance verifications and authorizations.
Obtains insurance benefits.
Verification of insurance and authorization.
Determines patient’s financial responsibility.