Revenue Cycle Representative I

Jefferson Health Plans•Philadelphia, PA

1d•Onsite

About The Position

The Revenue Cycle Representative I in the SBO department provides an excellent customer experience through efficient, timely, and professional responses to inquiries; coverage verification; payment collection; follow-up on customer issues; and support of the Financial Assistance process. The role aims to resolve issues with “one touch, one call, one email,” requiring knowledge of all aspects of the Revenue Cycle.

Requirements

High school diploma or GED.
At least 3 years of experience working in a healthcare business office setting or in customer service/collections.

Responsibilities

Interact with co-workers, visitors, and other staff consistent with Jefferson’s values.
Identify patient needs, clarify information, and review inquiries.
Research and resolve patient and/or guarantor inquiries promptly, striving for a high-quality, customer-satisfying one-touch resolution.
Determine whether escalation is required and triage inquiries as appropriate.
Resolve inquiries from external early-out vendors and/or financial assistance partners.
Review self-pay credit balances, validate patient refunds, and initiate the refund process.
Set up payment plans in the patient accounting system.
Facilitate patient estimates and financial pre-clearance for cosmetic surgery and international patients.
Maintain assigned system workqueues.

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