Rev Cycle Representative I

Jefferson Health Plans • Philadelphia, PA

5d

About The Position

Responsible for administering the billing to secondary and tertiary payers in alignment with all regulations and hospital policies. Research and respond to inquiries/complaints related to the billing process resolving all elements for processing.

Requirements

• High School Diploma/GED
• 2 years healthcare revenue cycle experience or related experience
• Knowledge of healthcare terminology
• Knowledge of State and Federal healthcare billing guidelines
• Demonstrated proficiency in mathematics

Nice To Haves

• Bachelor’s Degree or Master’s Degree
• experience working with EPIC
• experience in telecommuting
• Knowledge of IDC-10 and CPT coding

Responsibilities

• Processes claims and edits via assigned work queues to ensure third parties have received the information in a timely and accurate fashion.
• Research, make necessary corrections and update accounts ensuring accurate billing
• Remains current on payer plan changes, updates and website in determining benefit eligibility
• Review and resolve assigned charge review edits
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

Benefits

• Jefferson offers a 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, which provide colleagues with access to group rates on insurance and discounts.
• Colleagues have 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.

What This Job Offers

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