Billing Representative Revenue Cycle Management

 Posted 2 hours ago
     
 $19.73 - $26.7 per hour
  
2-5 years experience
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AI Summary

Execute strategic denial management by analyzing root causes of denied claims and implementing resolution strategies to maximize cash flow. Act as a liaison with insurance payers to negotiate complex billing disputes and report denial trends to leadership.

Your future role at a glance 

Location: Austin, TX

Facility: Remote

Department/Specialty: Revenue Cycle Management

Schedule: Day Shift | Monday - Friday 8:00a - 5:00p

Salary : $19.73 - $26.70



Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.


Benefits that help you thrive

  • Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
  • Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
  • Time to recharge: pro-rated paid time off (PTO) and holidays
  • Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
  • Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
  • Family support: parental leave, adoption assistance and family benefits
  • Other benefits: optional legal and pet insurance, transportation savings and more


How you’ll make an impact in this role

  • Execute Strategic Denial Management: Conduct deep-dive reviews and analysis of denied claims to identify root causes and implement effective resolution strategies.

  • Direct Revenue Recovery Initiatives: Aggressively "work" outstanding and denied claims to minimize aging accounts receivable and maximize departmental cash flow.

  • Serve as a Payer Relations Liaison: Leverage expert-level communication skills to negotiate and resolve complex billing disputes directly with insurance payers.

  • Analyze Clinical Documentation: Evaluate medical records and payer policies to ensure that appeals are supported by accurate data and meet specific insurance requirements.

  • Maintain Real-Time Technical Agility: Rapidly adapt to changing payer regulations and internal software updates to ensure the revenue cycle remains uninterrupted.

  • Collaborate for Process Improvement: Report on denial trends to leadership, providing actionable insights to prevent future claim rejections.


What minimum requirements you’ll need

Education:

  • High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
    • Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

What additional preferences we're seeking

  • Proven Denial Management Mastery: A minimum of two years of direct experience specifically focused on analyzing and overturning insurance claim denials.

  • Insurance Landscape Expertise: Extensive experience working directly with a diverse range of insurance payers and a thorough understanding of their unique reimbursement policies.

  • Exceptional Communication: The ability to articulate complex billing issues clearly to both internal stakeholders and external insurance representatives.

  • Rapid Technical Adaptation: A "fast learner" mindset with the ability to quickly master new EMR/EHR systems and billing software workflows.

  • Analytical Precision: High-level problem-solving skills with a meticulous eye for detail when reviewing rejected claims.


Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

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