Revenue Cycle Representative I

Thomas Jefferson University•Philadelphia, PA

14h•Remote

About The Position

The Revenue Cycle Representative I follows up with third-party payers, patients, and internal departments to resolve outstanding account balances and payment discrepancies. The role researches unpaid or denied claims, obtains information needed to resolve accounts, and determines and carries out appropriate resolution actions. The position is eligible for telecommuting (work from home).

Requirements

High school diploma or GED required.
One to two years of healthcare revenue cycle experience required.
Ability to communicate clearly in writing and verbally.
Computer skills, including proficiency in Windows 10 and Microsoft Office.
Demonstrated proficiency in mathematics.
Knowledge of state and federal healthcare guidelines and regulations.
Strong organizational and interpersonal skills.
Excellent verbal and written communication skills.
Ability to work independently with minimal supervision.

Nice To Haves

Associate or bachelor’s degree preferred.
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 needed to resolve unpaid or denied accounts and payment variances.
Resolve claim edits with internal departments.
Update and reconcile adjustments as necessary, and complete account adjustments as required.
Analyze and research payment discrepancies and determine and execute appropriate resolution actions.
Maintain an understanding of third-party insurance carriers and regulatory requirements related to receiving full and proper payments.
Review correspondence and take appropriate action to expedite resolution of outstanding receivables within established quality and time standards.
Contact payers regarding unpaid accounts within designated timeframes.
Maintain productivity and quality requirements defined by departmental policy.
Interact with co-workers, visitors, and other staff consistent with Jefferson’s values.
Perform other duties as assigned by the supervisor.

Benefits

Medical insurance, including prescription coverage
Supplemental insurance
Dental insurance
Vision insurance
Life and AD&D insurance
Short- and long-term disability coverage
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