Revenue Cycle Representative I

Jefferson Health Plans•Guilford, IN

1d•Remote

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
1-2 years of healthcare revenue cycle experience required
Ability to communicate clearly (both written and verbal)
Computer skills, including proficiency in Windows 10 and Microsoft Office
Demonstrated proficiency in mathematics
Knowledge of State and Federal healthcare guidelines and regulations

Nice To Haves

Associates or Bachelor's degree preferred
Demonstrated understanding of, healthcare terminology, insurance plans and contract language preferred.
Experience working with Epic preferred

Responsibilities

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.
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.
Completes account adjustments as required.
Reviews correspondence and takes appropriate action to expedite resolution of outstanding receivables with established quality/time standards.
Contacts payers regarding unpaid accounts within designated timeframes.
Maintains productivity and quality requirements as defined by departmental policy.
Other duties as assigned by supervisor.
Demonstrated ability to work independently with minimal supervision.