Revenue Cycle Representative -Remote (eligible candidates must live in WI, IL, or IA)

Summary

Rosecrance Behavioral Health provides behavioral health services supporting individuals and families facing substance use and mental health challenges. The Revenue Cycle Representative manages insurance and self-pay collections, client accounts, claims, receivables, payment security, and revenue cycle process improvements while supporting internal departments and delivering customer service.

Responsibilities

• Work eight-hour shift five days a week and be available to work additional hours when necessary. Overtime may be required
• Responsible for overall credit and collections activities of client accounts
• Maintain integrity of accounts receivable ledger, including aged receivable monitoring on an ongoing basis
• Responsible for maintaining current knowledge of revenue components including benefit plans, contract terms and rates and billing forms and codes
• Check status of claims through use of telephone, websites and/or other means available
• Document adjustments needed to client accounts
• Identify & recommend adjustments needed to client accounts
• Pursue collection activities and follow up for balances outside of established norms
• Coordinate collection activities with outside agencies, including court appearances, as needed
• Maintain consistency in application of credit policies throughout the revenue cycle – from admission to final account resolution
• Perform secure handling of cardholder data, including encryption, data storage limitations, and adherence to security protocols
• Participate in mandatory Payment Card Industry (PCI) training, access controls, and regular security assessments, all aligned with PCI Data Security Standard (DSS) guidelines
• Provide feedback & education to departments/internal customers with regards to issues that impact revenue flow and or capture
• Provide appropriate documentation and reports designed to assist in fiscal management of the agency
• Serve as a member of the Revenue Cycle Team and participate in all team meetings and activities
• Understand and comply with all the principles established by the Rosecrance Corporate Compliance Program and Code of Conduct
• Perform all responsibilities in compliance with the mission, vision, values, and expectations of Rosecrance
• Deliver exceptional customer service consistently to every customer

Skills

• High School diploma or GED
• One to two years of experience in healthcare claims processing and collections, or an equivalent combination of education, training and experience
• Computer proficiency in a Windows environment, knowledge of Microsoft Office products with an emphasis in Excel
• Adequate written skills to accurately complete required documentation within the time frames prescribed
• Excellent organizational skills
• Eligible candidates must live in WI, IL, or IA

Qualifications

Must Haves

• High School diploma or GED
• One to two years of experience in healthcare claims processing and collections, or an equivalent combination of education, training and experience
• Computer proficiency in a Windows environment, knowledge of Microsoft Office products with an emphasis in Excel
• Adequate written skills to accurately complete required documentation within the time frames prescribed
• Excellent organizational skills
• eligible candidates must live in WI, IL, or IA

Benefits

• Medical, dental, and vision insurance (multiple plan options to meet your needs)
• 401(k) with employer match & discretionary contribution
• Group Life Insurance, LTD and AD&D
• Tuition assistance & licensure/certification reimbursement
• Paid Time Off, sick time, bereavement leave
• Referral program earning up to $1,000 per hire!
• Wellness program, including an on-site gym at select facilities
• Discounts at participating retailers
• Daily pay available through UKG Wallet for financial flexibility
• Remote work