Revenue Cycle Representative

ResMed has always applied the best of technology to improve people's lives. Now our SaaS technology is fueling a new era in the healthcare industry, with dynamic systems that change the way people receive care in settings outside of the hospital-and tools that work every day to help people stay well, longer. We have one of the largest actionable datasets in the industry, creating a complete view of people as they move between care settings. This is how we empower providers-with vital insight to deliver the care people need, right when they need it.

We're also ensuring that our health solutions connect to other companies' networks. Because when objectives align, everyone wins. And as we work today to drive better care and lower costs, we're developing more personalized solutions for tomorrow, utilizing machine learning, intelligent care paths, and predictive protocols. If you are an innovator who wants to make an impact we want to talk to you We have exciting opportunities supporting Brightree by ResMed and MatrixCare by ResMed

**Revenue Cycle Representative**

We are a dynamic Revenue Cycle Management (RCM) and software company committed to delivering exceptional billing services and innovative solutions to our clients. We are seeking a high-caliber individual who is passionate about healthcare billing and eager to grow within a fast-paced, collaborative environment.

**Position Summary**

The Revenue Cycle Representative is responsible for providing accurate and timely billing services to both software and non-software clients. This role plays a key part in maintaining client satisfaction and ensuring the financial health of our customers through effective claims management and reimbursement follow-up.

**Key Responsibilities**
- Submit claims promptly to Medicare, Medicaid, and private payers.
- Verify that claims are processed correctly and accepted by payers.
- Process adjustments and re-file claims as necessary.
- Collaborate with team members to manage accounts receivable (AR) for clients.
- Investigate and resolve reimbursement issues and perform claim follow-up.
- Meet or exceed established productivity benchmarks.
- Build and maintain strong client relationships, assisting with billing inquiries and claim resolutions.
- Address and resolve client concerns in a timely and professional manner.
- Escalate unresolved issues to appropriate departments or management.
- Maintain up-to-date knowledge of Medicare rules, regulations, and billing codes.
- Ensure compliance with HIPAA and confidentiality standards.
- Perform other duties as assigned.

**Qualifications**
- Minimum of 1-4 years of progressive experience in **Home Health and/or Hospice billing**.
- Prior experience with **Medicare billing rules and codes (preferred)**.
- High school diploma or equivalent required; college degree preferred.
- Proficient in basic bookkeeping and statistical compilation.
- Strong organizational and multitasking skills.
- Excellent written and verbal communication abilities.
- Comfortable using computers, office equipment, and learning new systems.
- Professional, courteous, and adaptable demeanor.
- Ability to work independently and collaboratively in a dynamic environment.
- Willingness to engage with cross-functional teams to support client needs.

**Why Join Us?**
- Opportunity to grow with a forward-thinking RCM and software company.
- Supportive team culture with a focus on continuous improvement.
- Competitive compensation and benefits package.
- Flexible work environment and career development opportunities.