Revenue Cycle Representative

Position Summary

The Revenue Cycle Representative performs front-end and back-end revenue cycle functions, including patient collections, customer service, payment posting, account reconciliation, and resolution of billing discrepancies. This position supports accurate and timely reimbursement, patient satisfaction, and the overall financial health of the organization. The ideal candidate has knowledge of healthcare billing, payer requirements, and patient financial services, with a strong commitment to accuracy and customer service.

Essential Duties and Responsibilities

• Respond to patient and guarantor inquiries regarding billing, account balances, insurance payments, and payment arrangements.

• Review patient accounts, research discrepancies, and resolve billing and payment issues.

• Accurately post patient and insurance payments, adjustments, refunds, and transfers.

• Review and resolve credit balances, unapplied payments, underpayments, and missing remittances.

• Establish and maintain patient payment plans in accordance with organizational policies.

• Perform daily cash balancing, account reconciliation, and assist with month-end reporting.

• Serve as a liaison with external collection vendors, including early-out and bad debt agencies.

• Collaborate with registration, coding, billing, and collections teams to resolve account issues.

• Maintain accurate account documentation and ensure compliance with HIPAA, FDCPA, and organizational policies.

• Support revenue cycle improvement initiatives to enhance cash flow, efficiency, and patient satisfaction.

Required Education and Experience

• High school diploma or equivalent required; associate degree in business, accounting, or healthcare administration preferred.

• One to two years of healthcare revenue cycle experience preferred, including billing, collections, or payment posting.

• Working knowledge of medical billing, insurance claims, payer contracts, EOBs, ERA processing, and CPT/ICD-10 coding.

• Knowledge of HIPAA and FDCPA regulations.

Required Skills and Abilities

• Strong customer service, communication, and interpersonal skills.

• Excellent attention to detail, accuracy, and problem-solving abilities.

• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

• Proficiency in Microsoft Office and familiarity with EHR or billing systems.

• Ability to maintain confidentiality and work effectively both independently and as part of a team.

Delta Health is a county-wide healthcare system with more than 100 years of dedication to serving our community. Our 49-bed hospital and outpatient locations across Delta County are committed providing remarkable care in a healing environment. We operate with the core belief: Excellence. Every Patient. Every Time.