• Drives sales in assigned territory • Engages with customers both face to face and virtually • Develops and implements effective business and territory call plans • Builds rapport and relationships with customers in live and virtual environments • Demonstrates strong teamwork capabilities to collaborate effectively across the organization

• Perform follow-up on aged accounts receivable to ensure timely resolution of balances • Review and analyze payer denials, identify trends, and take corrective action as needed • Conduct thorough reviews of patient accounts during the follow-up process to ensure accuracy and completeness of billing • Submit accurate and complete claims to insurance companies within one (1) business day of creation • Track and follow up on outstanding claims within 14 days of submission and at regular intervals thereafter until resolution • Communicate with patients regarding outstanding balances and establish payment arrangements when appropriate • Follow up on patient account balances within 30 days of statement mailing and regularly thereafter until resolution • Maintain accurate and up-to-date collection notes in the electronic system in compliance with organizational policies • Provide regular updates to the Revenue Cycle Operations Manager and other stakeholders regarding account activity and escalations • Serve as a professional point of contact for internal and external stakeholders, including insurance companies, patients, and third-party vendors • Escalate unresolved or complex issues to the appropriate supervisor in a timely manner • Adhere to the provisions of 42 CFR Part 2 (Confidentiality of Alcohol and Drug Abuse Patient Records) and 45 CFR (HIPAA) • Ensure all credit information and patient account details remain confidential • Provide courteous and professional assistance to patients, families, and payer representatives • Foster positive working relationships with colleagues, managers, and external contacts • Review and recommend accounts for outside collection when necessary • Participate in training and professional development activities as required • Perform other duties as assigned to support the team and organizational goals

• Perform a variety of routine duties to assist in the collection of payment on delinquent accounts • High volume of outbound calls / emails to collect past due balances and determine reasons for non-payment • Continually monitor customer’s account status by utilizing reporting resources and spreadsheets • Issue monthly statements of amount owed, payments, adjustments and any interest charges applied • Perform account and payment reconciliations • Research account disputes and billing discrepancies • Prepare adjustments/write-offs for approval by the Director of Accounting • Respond to customer inquiries and assist with questions related to the status of their account(s) • Document daily collections activity to include date, times of contact and any change in customer account status.

Role Description The Revenue Cycle Representative III (Rep III) is a multi-tasking advanced position that encompasses all key functions of the physician billing Revenue Cycle. The Rep III position requires an advanced revenue cycle knowledge that has been acquired through experience and developed through training and education. The Rep III supports patient-centered care and Customer Service by serving as a patient advocate during the life cycle of the account. - Maintain productivity above the average standard identified by the Revenue Cycle Department. - Quality and accuracy of work performed is expected to be consistently above 90% when audited. - Performance will be measured according to the Piedmont Healthcare values of Compassion, Commitment, Service, Excellence, and Balance. - Expected to be tiered in the top 1/3 in the department. Rep III Revenue Cycle duties may include but are not limited to: - Core Functions: - Billing - Claims Filing - Data Entry - Charge Entry - Insurance Follow-Up - Self-Pay Follow-Up - Denial Management - Payment Posting - Refund Management - Credit Balance Management - Account Correction and Adjustment - Response to Patient Account Inquiries - Customer Service Advocacy - Self-Pay Collections - Unapplied Cash - Advanced Functions: - File Maintenance - System Support - Claims Edit Management - Claims Rejection Management - Front End Management - Payment Variance Management The Rep III Employee will be proficient in one or more advanced Revenue Cycle responsibilities or functions: - Highly specialized and skilled Revenue Cycle employees. - Possesses advanced problem-solving abilities. - Supports all departments in the Revenue Cycle. - Demonstrates advanced knowledge requiring little training in core functions and responsibilities. - Ability to analyze and assess Revenue Cycle reports, workflows, and processes. - Assists and participates in creation of training manuals and job aids for their respective area(s) of expertise. - Ability to function as a trainer. - Ability to function as a lead. - Ability to act as a resource to less experienced staff. - May be asked to support quality assurance audits. - May be assigned to special projects, tasks, or duties. Qualifications - Education: H.S. Diploma or General Education Degree (GED) Required - Work Experience: 5 years of experience exhibiting advanced performance in a physician billing revenue cycle or Central Business Office Required - Licenses and Certifications: None Required Company Description Business Unit: Company Name Piedmont Healthcare Corporate