Overview
The Revenue Integrity/Accounts Receivable Representative supports the financial performance of a physician practice by ensuring accurate charge capture, compliant billing, and timely reimbursement. This role collaborates across departments to identify and correct billing discrepancies, reduce denials, and improve overall revenue cycle efficiency. The position requires strong analytical skills, attention to detail, and the ability to manage multiple priorities in a fast-paced healthcare environment.
This is a remote position open to candidates anywhere in Canada and the US.
Responsibilities
- Review physician charges and supporting documentation for accuracy, completeness, and compliance with CPT, ICD-10, and payer guidelines.
- Identify, research, and resolve billing and charge capture errors prior to claim submission.
- Manage accounts receivable aging reports and follow up on unpaid, underpaid, or denied claims to ensure timely collections.
- Collaborate with coding, billing, and clinical teams to prevent recurring errors and improve charge capture processes.
- Analyze denial trends and develop recommendations for process improvements.
- Conduct internal audits to support revenue integrity and compliance with payer contract terms.
- Prepare and maintain reports tracking reimbursement performance, collection activity, and outstanding balances.
- Stay current with payer policies, physician billing regulations, and healthcare reimbursement trends.
Requirements
- Associate or Bachelor’s degree in Accounting, Business, Healthcare Administration, or a related field, or equivalent work experience.
- Minimum of 2 years of experience in physician billing, accounts receivable management, or revenue integrity.
- Strong knowledge of medical terminology, CPT/ICD-10 coding, and payer reimbursement methodologies.
- Proficiency with electronic health record (EHR) and billing systems such as Epic, Athena, eClinicalWorks, or similar.
- Intermediate proficiency in Microsoft Excel, including pivot tables, data analysis, and reporting.
- Project management skills, including the ability to coordinate process improvement initiatives and track performance outcomes.
- Excellent analytical, organizational, and communication skills.
- Strong attention to detail with the ability to work independently and collaboratively.
Compensation & Benefits
- Three weeks of vacation and five personal days
- Comprehensive Medical, Dental, and Vision benefits starting from the first day of employment
- Employee stock ownership and RRSP/401k matching programs
- Lifestyle rewards
- Remote work opportunities
Location
Remote position available to candidates located anywhere in Canada and the United States.