PB Revenue Cycle Rep II

Thomas Jefferson University • Philadelphia, PA

3d

About The Position

The Payment Research Representative is responsible for proper handling and reconciliation of payments received throughout the Jefferson Revenue Cycle Enterprise. Working closely with Payment Representatives, Accounting, and Finance, the representative investigates and resolves issues impacting cash processing and reconciliation.

Requirements

• High school diploma or GED.
• Proficiency in Windows 10 and Microsoft Office.
• Strong Microsoft Excel and Access skills.
• Ability to work independently and as part of a team with minimal supervision.
• Proficiency with web tools and technology.
• Knowledge of accounting ledgers and balance sheets.
• Strong organizational and interpersonal skills.
• Excellent verbal and written communication skills.

Nice To Haves

• Bachelor’s degree in Accounting, Finance, or Business.
• Knowledge of Epic.
• EDI-related experience.
• Medical billing or banking experience.

Responsibilities

• Interact with co-workers, visitors, and other staff consistent with Jefferson’s values.
• Identify and resolve payment issues through research and investigation.
• Review explanations of benefits to confirm payments were applied appropriately.
• Contact third-party payors or use payor portals to obtain additional information as necessary.
• Use online payor portals, such as Navinet, for claims determination, eligibility, offset requests, and appeals.
• Apply payments and adjustments to patient accounts according to third-party regulations, maintaining accurate accounts receivable and balance billing while meeting department productivity benchmarks.
• Interpret and validate transaction postings of payments and denials received from third-party explanations of benefits, either through batched images or electronic remittance posting work queues.
• Research over-posted or undistributed credit balances through credit work queues.
• Confirm cash records are properly linked to associated payment batches before posting.
• Ensure batches are posted, reconciled, closed, and processed accurately and on time.
• Communicate potential system and reimbursement issues to the supervisor for review and analysis and to confirm the best course of action.
• Adhere to workflows and maintain quality assurance standards.

Benefits

• Medical insurance, including prescription coverage
• Supplemental insurance
• Dental insurance
• Vision insurance
• Life and AD&D insurance
• Short- and long-term disability insurance
• Flexible spending accounts
• Retirement plans
• Tuition assistance
• Voluntary benefits, including access to group insurance rates and discounts
• Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
• Medical insurance, including prescription coverage, is available to all colleagues, including those working less than part-time.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED