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Role Description

The Senior Revenue Cycle Rep is an experienced position within the Mayo Clinic enterprise Revenue Cycle team. This position will be responsible for ensuring accurate and appropriate actions to ensure payment integrity for Mayo Clinic services. This requires deep understanding of revenue cycle and payer policies and the ability to resolve complex issues.

• Responsible for revenue cycle activities requiring deep insight into claim processes.
• Comprehensive interpretation and understanding of payer contracts and industry standards.
• Comfortable with ambiguity, exhibiting good decision making and judgment capabilities.
• Attention to detail and self-motivated, self-directed, and highly organized.
• Ability to prioritize work and handle a variety of tasks simultaneously.
• Belief in the mission and strong ethical conduct is essential.
• Assertive communication with third party payer representatives.
• Effective communication and coordination with necessary internal areas to ensure favorable outcomes for patients and the organization.
• Initiative to continuously learn within assigned job function to support progressive responsibility.
• Responsible for interpreting data, drawing conclusions, reviewing findings, and providing recommendations for improvements.
• Maintain a growing knowledge of applicable State, Federal and local laws/regulations, correct billing and coding requirements including industry-specific data such as modifiers, CPT and ICD-10 coding.
• Adherence to quality assurance guidelines and established productivity standards to support the work unit’s performance expectations.
• Consistently document within the patient accounting system all actions and encounters leveraging necessary standard codes.
• Participates in special projects and other duties as directed by the Supervisor.

Qualifications

• Experience in revenue cycle management.
• Strong understanding of payer policies and claim processes.
• Excellent communication skills.
• Ability to work independently and as part of a team.

Requirements

• Deep understanding of billing and coding requirements.
• Knowledge of applicable laws and regulations.
• Ability to interpret complex data and provide actionable insights.

Benefits

• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.

Company Description

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. With continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

• Employees are located at three major campuses: Phoenix/Scottsdale, Arizona; Jacksonville, Florida; Rochester, Minnesota.
• Mayo Clinic Health System campuses throughout Midwestern communities and international locations.
• Each Mayo Clinic location is a special place where employees thrive in both their work and personal lives.