Revenue Integrity A/R Representative

Harris Computer Systems

Edmond, OK

JOB DETAILS
SKILLS
Accounting, Accounts Receivable, Accounts Receivable Management, Analysis Skills, Auditing, Billing, Charge Capture, Communication Skills, Credit and Collections, Current Procedural Terminology (CPT), Data Analysis, Detail Oriented, Documentation, Epic Systems, Healthcare Administration, Healthcare Reimbursement, ICD-10, Internal Audit, Medical Billing, Medical Coding, Medical Record System, Medical Terminology, Microsoft Excel, Organizational Skills, Performance Analysis, Pivot Tables, Process Improvement, Process Management, Project/Program Management, Regulations, Reimbursement, Revenue Management, Time Management, Trend Analysis
LOCATION
Edmond, OK
POSTED
30+ days ago

Key Responsibilities:·         Review physician charges and supporting documentation for accuracy, completeness, and compliance with CPT, ICD-10, and payer guidelines.·         Identify, research, and resolve billing and charge capture errors prior to claim submission.·         Manage AR aging reports and follow up on unpaid, underpaid, or denied claims to ensure timely collections.·         Collaborate with coding, billing, and clinical teams to prevent recurring errors and improve charge capture processes.·         Analyze denial trends and develop recommendations for process improvement.·         Conduct internal audits to support revenue integrity and compliance with payer contract terms.·         Prepare and maintain reports tracking reimbursement performance, collection activity, and outstanding balances.·         Stay current with payer policies, physician billing regulations, and healthcare reimbursement trends.Qualifications:·         Associate or Bachelor's degree in Accounting, Business, Healthcare Administration, or related field (or equivalent work experience).·         Minimum of 2 years of experience in physician billing, AR management, or revenue integrity.·         Strong knowledge of medical terminology, CPT/ICD-10 coding, and payer reimbursement methodologies.·         Proficiency in electronic health record (EHR) and billing systems (e.g., Epic, Athena, eClinicalWorks, or similar).·         Intermediate proficiency in Microsoft Excel, including pivot tables, data analysis, and reporting.·         Project management skills, including the ability to coordinate process improvement initiatives and track performance outcomes.·         Excellent analytical, organizational, and communication skills.·         Strong attention to detail with the ability to work both independently and collaboratively.

About the Company

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Harris Computer Systems