Rev Cycle Representative I

Thomas Jefferson University • Montgomery County, PA

22h

About The Position

The Revenue Cycle Representative I is responsible for the follow-up with all third-party payers, patients, and other departments related to outstanding account balances, payment discrepancies, and executing resolutions. Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. 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. Contacts payers regarding unpaid accounts within designated timeframes. Maintains understanding of various third-party insurance carriers and regulatory requirements as related to receiving full and proper payments. Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Maintains productivity and quality requirements as defined by departmental policy. Demonstrated ability to work independently with minimal supervision Reviews correspondence and takes appropriate action to expedite resolution of outstanding receivables with established quality/time standards. Proficient in Hospital and Physician Revenue Cycle. Demonstrated effective critical thinking, problem-solving, and decision-making skills. Exceptional writing and verbal communication skills. Proficient in Microsoft Office Suite. Experience and knowledge of Epic.

Requirements

• Proficient in Hospital and Physician Revenue Cycle
• Demonstrated effective critical thinking, problem-solving, and decision-making skills
• Exceptional writing and verbal communication skills
• Proficient in Microsoft Office Suite
• Experience and knowledge of Epic
• High School Diploma/GED required
• Demonstrated ability to work independently with minimal supervision

Nice To Haves

• Experience in hospital billing preferred

Responsibilities

• follow-up with all third-party payers, patients, and other departments related to outstanding account balances, payment discrepancies, and executing resolutions
• 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
• Contacts payers regarding unpaid accounts within designated timeframes
• Maintains understanding of various third-party insurance carriers and regulatory requirements as related to receiving full and proper payments
• Maintains productivity and quality requirements as defined by departmental policy
• Reviews correspondence and takes appropriate action to expedite resolution of outstanding receivables with established quality/time standards

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