Revenue Allocation Representative

Job Summary: The Revenue Allocation Rep assists in accurately applying revenue related transactions to applicable accounts while adhering to set processes and maintaining set productivity and accuracy standards. Including, but not limited to, posting charges, payments, adjustments, and refunds on all applicable accounts. Maintains data quality and integrity. Carries out all duties while maintaining compliance and confidentiality, promoting the mission and philosophy of the organization, and fostering a professional, positive work environment.

Career Band: O1 – Operations

·        Entry level job with little or no prior relevant work experience

·        Acquires basic skills to perform routine tasks.

·        Work is prescribed and completed with little autonomy.

·        Works with either close supervision or under clearly defined procedures

·        Has developed knowledge and skills through formal training or considerable work experience.

·        Entry level often for those with work experience in the skill area

·        Works within established procedures with a moderate degree of supervision

·        Identifies the problem and all relevant issues in straightforward situations, assesses each using standard procedures and makes sound decisions.

·        Displays a sense of urgency when completing daily job functions.

Supervisory Responsibilities:

·        This position holds no supervisory responsibilities.

Duties/Responsibilities:

·        Accurately applies ICD-10, CPT and HCPC codes to patient accounts ensuring data entered matches the control data provided.

·        Accurately applies applicable payments and adjustments to patient accounts ensuring data entered matches the control data provided and staying within set company standards.

·        Applies applicable refund adjustments to patient accounts ensuring data entered matches the control data provided.

·        Assists in accurate and timely revenue allocation on all patient accounts.

·        Assists in timely retrieval of all necessary data needed for accurate revenue allocation.

·        Assists in balancing between the controls provided and the medical billing system on a daily basis.

·        Completes daily and/or monthly system closure as needed.

·        Assists in managing the daily Revenue Allocation process for assigned clients and communicates any issues/delays to the Advanced Revenue Allocation Representatives

·        Stay up to date on current coding requirements.

·        Work to set and achieve monthly S.M.A.R.T goals.

·        Ensure productivity standards are met.

·        Ensure Client KPI’s are met.

·        Other duties as assigned.

Required Skills/Abilities:

·        Strong mathematical skills

·        Strong keyboard skills

·        Strong attention to detail

Personal Characteristics impacting performance.

1.      Personal Character

2.      Verbal/written Communication Skills

3.      Focus on Culture.

4.      Extreme ownership

5.      Overall Process Focus

6.      Metrics Skills

7.      System Knowledge

8.      Regulatory/Billing Knowledge

9.      Customer Focus and Communication

10.  Professional Demeanor and Appearance

11.  Sense of Urgency

12.  Compliance

13.  Solution driven.

Education and Experience:

·        High school diploma or equivalent

·        At least two years related experience preferred.