Revenue Integrity A/R Representative
Core
Ensure accurate charge capture, compliant billing, and timely reimbursement for physician practices by resolving billing discrepancies and reducing denials.
Role type
Revenue Integrity/Accounts Receivable Representative
Builds
Physician practice revenue cycle efficiency
Domain
Healthcare billing and revenue integrity
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Medical terminology, CPT/ICD-10 coding, payer reimbursement methodologies, EHR and billing systems (Epic, Athena, eClinicalWorks), Microsoft Excel (pivot tables, data analysis), project management, analytical skills, attention to detail
Preferred skills
None stated
Technologies
Epic, Athena, eClinicalWorks
Responsibilities
Review physician charges and supporting documentation for accuracy and compliance; 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; Collaborate with coding, billing, and clinical teams to prevent recurring errors; Analyze denial trends and develop recommendations for process improvement; Conduct internal audits to support revenue integrity and compliance; Prepare and maintain reports tracking reimbursement performance and collection activity
Seniority
Mid-level, hands-on IC