AR Representative, Customer Service T2

🕒 4 days ago

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Sage Clinical RCM, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2024

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Sage Clinical RCM is a healthcare revenue cycle management company that combines proprietary technology with clinical and financial expertise to provide end-to-end RCM solutions—from patient access through financial close. The firm offers advisory services, revenue cycle management operations, technology adoption (including clinical documentation improvement and autonomous coding), workforce augmentation (coding, documentation, RCM, physician advisory), and analytics-driven platforms (Sage IQ: Validity and VERO) that use automation and AI to unify coding, documentation, vendor performance, compliance, and financial reporting for healthcare organizations.

📋 Description

• Responsible for Customer Service phone calls, legal release of information, initial billing, re-billing, and account follow-up and/or grievance preparation of assigned Client EMR Accounts Receivable • Ensure appropriate and prompt payment of claims by collaborating with team members and health plans • Accepts and resolves incoming patient billing inquiries • Responsible for Legal Billing release of information documentation • Reviews and/or scrubs final billed initial claims for accuracy and completeness prior to submitting to payer • Documents all account activity in the hospital/client system and The Q with clear and concise notes • Research and validate the paid or partially paid claim status is in accordance with the expectations outlined in the client contract agreement • Resolves any technical issues when warranted with payer • Prepares appeal and necessary documentation for authorization, coding, level of care and/or length of stay denials

🎯 Requirements

• High School diploma or equivalent • 2+ years previous experience in healthcare revenue cycle management • Ability to work independently and within a team atmosphere • Self-motivated and passionate about our mission and values of quality work • Proficient application of business/office standard processes and technical applications

🏖️ Benefits

• Prolonged periods of sitting at a desk and working on a computer • Must be able to lift 15 pounds at one time • Must be able to structure your home office to ensure patient information is secure meeting the regulatory expectations