Rev Cycle Representative I

Jefferson Health Plans • Abington Township, PA

1d • Onsite

About The Position

The Revenue Cycle Representative I position is responsible for the follow-up with all third-party payers, patients, and other departments related to outstanding account balances, payment discrepancies, and executing resolution. Essential Functions · 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.

Requirements

• Epic Proficient
• Commercial and Multiplan Payer Knowledge
• High School Diploma/GED required

Nice To Haves

• Associates' or Bachelors

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.
• 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.
• 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

• 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