Revenue Integrity A/R Representative
Core
Ensure accurate charge capture, compliant billing, and timely reimbursement for physician practices by resolving billing discrepancies and managing accounts receivable.
Role type
Revenue Integrity and Accounts Receivable Representative
Builds
Accurate claims, reduced denials, and efficient revenue cycle processes for physician practices
Domain
Healthcare revenue cycle management
Required skills
Medical terminology, CPT/ICD-10 coding, payer reimbursement methodologies, EHR and billing systems, Microsoft Excel, analytical skills, project management
Preferred skills
Process improvement, internal auditing, denial trend analysis
Responsibilities
Review physician charges for accuracy and compliance; Identify and resolve billing errors prior to claim submission; Manage AR aging reports and follow up on denied claims; Collaborate with coding and clinical teams to prevent errors; Analyze denial trends and develop process improvement recommendations; Conduct internal audits for compliance; Prepare reports on reimbursement performance and collection activity.
Seniority
Mid-level, hands-on IC
