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Revenue Cycle Representative III - Billing and A/R Follow Up Team

Company: Yakima Valley Memorial Hospital
Location: Yakima
Posted on: June 12, 2021

Job Description:

ROLE SUMMARY Directs and supervises the daily operations of patient accounts processing activities. Ensures timely and accurate processing of all phase of claim processing, payments and adjustments. ESSENTIAL RESPONSIBILITIES: Billing and A/R Follow Up Rep III #Performs timely review of aged accounts and denials. Analyzes and performs efficient account activity research. Identifies solutions and initiates appropriate course of action (i.e. rebilling, refunding). Use critical thinking skills to bill services compliantly and question areas of uncertainty Manages correspondence/refunds/denials relating to assigned accounts in a timely manner Maintains current knowledge of billing, reimbursement and compliance requirements, sharing information as necessary. Works with contracted vendors regarding assigned accounts as necessary. Monitor and identify payer billing requirements as needed to reduce/prevent denials # QUALIFICATIONS AND REQUIREMENTS Education: High School diploma or GED equivalent required.Associate#s degree in related field preferred. Medical Billing and Coding certification preferred. Experience: Two years of revenue cycle experience required. Level of Business Knowledge/Knowledge/Skills/Abilities: Knowledgeable of all payer processing requirements and procedure activities required for timely collection of accounts receivable. Medical terminology knowledge and clerical/customer service experience required. # ABOUT US: Yakima Valley Memorial (YVM) is a 256-bed acute-care, not-for-profit community hospital that has served Central Washington#s Yakima Valley for 70 years. YVM also includes a multispecialty team of more than 300 physicians and 20+ primary care and specialty care locations. Specialty care services include cardiac care, a continuum of cancer care, hospice care, and advanced services for children with special health care needs. We offer a comprehensive benefit plan including medical, dental, and vision coverage; plus we have a generous 401K plan (with an employer contribution!), competitive compensation, and a diverse workforce that is passionate about patient care. At YVM, we know the best care is provided by employees who are well-supported. As the region#s leading health care provider and Yakima#s largest employer, we believe that by inspiring people to thrive, we can transform lives. Our vision at YVM is creating healthy communities one person at a time. With such an important goal, we work together to demonstrate our values of Respect, Accountability, Teamwork, Stewardship, and Innovation for everyone who walks through our doors, patients and coworkers alike. We would love to hear from you! # #Yakima Valley Memorial provides reasonable accommodations to assist qualified individuals in order to perform the essential duties/requirements their job requires. The description is intended to provide only basic guidelines for meeting job requirements and serves as merely a summary rather than a complete listing of duties. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve. This job description does not constitute a contract as employment is at will.# #

ROLE SUMMARY

Directs and supervises the daily operations of patient accounts processing activities. Ensures timely and accurate processing of all phase of claim processing, payments and adjustments.

ESSENTIAL RESPONSIBILITIES:

Billing and A/R Follow Up Rep III

  • Performs timely review of aged accounts and denials. Analyzes and performs efficient account activity research. Identifies solutions and initiates appropriate course of action (i.e. rebilling, refunding). Use critical thinking skills to bill services compliantly and question areas of uncertainty

  • Manages correspondence/refunds/denials relating to assigned accounts in a timely manner

  • Maintains current knowledge of billing, reimbursement and compliance requirements, sharing information as necessary.

  • Works with contracted vendors regarding assigned accounts as necessary.

  • Monitor and identify payer billing requirements as needed to reduce/prevent denials

QUALIFICATIONS AND REQUIREMENTS

Education: High School diploma or GED equivalent required.Associate's degree in related field preferred. Medical Billing and Coding certification preferred.

Experience: Two years of revenue cycle experience required.

Level of Business Knowledge/Knowledge/Skills/Abilities: Knowledgeable of all payer processing requirements and procedure activities required for timely collection of accounts receivable. Medical terminology knowledge and clerical/customer service experience required.

ABOUT US:

Yakima Valley Memorial (YVM) is a 256-bed acute-care, not-for-profit community hospital that has served Central Washington's Yakima Valley for 70 years. YVM also includes a multispecialty team of more than 300 physicians and 20+ primary care and specialty care locations. Specialty care services include cardiac care, a continuum of cancer care, hospice care, and advanced services for children with special health care needs.

We offer a comprehensive benefit plan including medical, dental, and vision coverage; plus we have a generous 401K plan (with an employer contribution!), competitive compensation, and a diverse workforce that is passionate about patient care. At YVM, we know the best care is provided by employees who are well-supported.

As the region's leading health care provider and Yakima's largest employer, we believe that by inspiring people to thrive, we can transform lives. Our vision at YVM is creating healthy communities one person at a time. With such an important goal, we work together to demonstrate our values of Respect, Accountability, Teamwork, Stewardship, and Innovation for everyone who walks through our doors, patients and coworkers alike. We would love to hear from you!

"Yakima Valley Memorial provides reasonable accommodations to assist qualified individuals in order to perform the essential duties/requirements their job requires. The description is intended to provide only basic guidelines for meeting job requirements and serves as merely a summary rather than a complete listing of duties. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve. This job description does not constitute a contract as employment is at will."

Keywords: Yakima Valley Memorial Hospital, Yakima , Revenue Cycle Representative III - Billing and A/R Follow Up Team, Other , Yakima, Washington

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