Revenue Cycle Representative lll

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Join our team at Wyandot Memorial Hospital, where you’ll find a supportive, community-focused environment, excellent benefits, and the opportunity to make a real difference in the lives of our patients. Be part of a dedicated team that values teamwork, professional growth, and a strong commitment to compassionate, high-quality care.

The Revenue Cycle Representative III position is part of the Patient Financial Services Department and is a full-time role working 80 hours per two-week pay period. This position plays a key role in hospital billing, denials management, and patient financial interactions while ensuring compliance with payer and federal regulations.

Qualifications

  • High school diploma or equivalent required

  • Required to obtain the Certified Professional Biller (CPB) credential through AAPC within 18 months of hire as a condition of continued employment

  • Strong understanding of insurance billing, including Medicare, Medicaid, and Commercial payers

  • Experience in medical terminology and medical coding preferred

  • Proficient computer, office, and math skills

  • Ability to read and follow written and oral instructions

  • Excellent interpersonal, communication, and customer service skills

  • Detail-oriented with a strong focus on accuracy and confidentiality

  • Hospital billing experience and Epic system experience preferred

Key Responsibilities

  • Release bills, work denials, and perform appeals

  • Maintain compliance with payer reimbursement policies and federal healthcare program requirements

  • Interact professionally with patients and providers regarding documentation policies and procedures

  • Review claims for accuracy and prepare billing records as requested by patients, departments, and other healthcare providers

  • Answer telephone calls and manage messages and requests

  • Communicate effectively with a focus on confidentiality, quality of work, and patient satisfaction

  • Perform other duties as assigned to support department workflow and hospital financial operations

Remote work eligibility may be considered after six (6) months of employment. This opportunity is contingent upon demonstrated job performance, consistent adherence to established productivity standards, and the ability to maintain a reliable work environment, including adequate internet connectivity. Approved employees are required to maintain a minimum of one (1) scheduled in-office workday per week. All remote work arrangements are granted at the organization’s discretion and are not guaranteed.