[Hiring] Rev Cycle Representative I @Jefferson Health Plans

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

Responsible for the follow-up with all third party payers, patients and other departments related to outstanding account balances, payment discrepancies and execute resolution.

  • Contact payers regarding unpaid or denied accounts.
  • Contact third party payers, hospital departments, and patients to obtain information required for account resolution, i.e. unpaid, denied accounts, payment variances, etc.
  • Resolve claim edits with internal departments.
  • Update and reconcile adjustments as necessary.
  • Analyze and research payment discrepancies. Determine and execute appropriate action for resolution.
  • Maintain understanding of various third party insurance carriers and regulatory requirements as related to receiving full and proper payments.
  • Interact with co-workers, visitors, and other staff consistent with the values of Jefferson.
  • Complete account adjustments as required.
  • Review correspondence and take appropriate action to expedite resolution of outstanding receivables with established quality/time standards.
  • Contact payers regarding unpaid accounts within designated timeframes.
  • Maintain productivity and quality requirements as defined by departmental policy.
  • Other duties as assigned by supervisor.
  • Demonstrated ability to work independently with minimal supervision.

Qualifications

  • High School Diploma/GED required
  • Associates or Bachelors degree preferred

Requirements

  • 1-2 years of healthcare revenue cycle experience required
  • Demonstrated understanding of healthcare terminology, insurance plans and contract language preferred
  • Ability to communicate clearly (both written and verbal)
  • Computer skills, including proficiency in Windows 10 and Microsoft Office
  • Demonstrated proficiency in mathematics
  • Knowledge of State and Federal healthcare guidelines and regulations
  • Experience working with Epic preferred

Benefits

  • Comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits.
  • Access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
  • All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
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