Rev Cycle Representative I

Jefferson Health Plans•Dixon Hall (formerly Pennwood), PA

About The Position

Responsible for administering billing to secondary and tertiary payers in alignment with regulations and hospital policies. Researches and responds to inquiries and complaints related to the billing process, resolving all elements needed for processing.

Requirements

High school diploma or GED.
Two years of 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 or master’s degree.
Experience working with EPIC.
Experience in telecommuting.
Knowledge of ICD-10 and CPT coding.

Responsibilities

Process claims and edits through assigned work queues to ensure third parties receive information in a timely and accurate manner.
Research accounts, make necessary corrections, and update them to ensure accurate billing.
Stay current on payer plan changes, updates, and websites when determining benefit eligibility.
Review and resolve assigned charge review edits.
Interact with co-workers, visitors, and other staff consistently with Jefferson’s values.

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.