Revenue Cycle Representative I

Jefferson Health Plans•Abington Widener Building, PA

7d•Onsite

About The Position

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

Requirements

High School Diploma/GED required

Nice To Haves

Associates or Bachelors degree preferred

Responsibilities

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.

Benefits

medical (including prescription)
supplemental insurance
dental
vision
life and AD&D insurance
short- and long-term disability
flexible spending accounts
retirement plans
tuition assistance
voluntary benefits
tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service