Revenue Cycle Representative - Reconsiderations RCM

Responsibilities:

• Ensure coordination of provider invoice activities to support timely reimbursement, using databases, online tools, and phone outreach.
• Research and resolve claim denials that fail payer edits, preparing corrections and appeals through electronic and paper processes.
• Verify patient eligibility, benefits, and health‑plan information using payer databases, CareCentrix eligibility systems, and medical documentation.

Qualifications:

• Have a high school diploma or equivalent.
• Minimum of two (2) years of experience in medical claims processing and reimbursement within healthcare revenue cycle environment.
• Working knowledge of healthcare collections procedures and related internal and external claims processing software applications.

What We Offer:

• Pay Range: $18 - $20.00/ hour, plus corporate bonus incentive.
• Benefits: Medical, Dental, Vision, 401(k) with company match, HSA employer contributions, Dependent Care FSA employer contribution, Paid Time Off, Personal/Sick Time, Paid Parental Leave, and more.
• Award-winning culture: Keeps our company values at the heart of everything we do: We Care; We Do the Right Thing; We Strive for Excellence; We Think BIG; We Take our Work Seriously, Not Ourselves.