Revenue Cycle Representative II
Thomas Jefferson University•Montgomery County, PA
•Onsite
About The Position
The Payment Research Representative handles and reconciles payments received throughout the Jefferson Revenue Cycle Enterprise. Working closely with Payment Representatives, Accounting, and Finance, the representative investigates and resolves issues affecting cash processing and reconciliation. The role applies payments and adjustments to patient accounts, researches payment and credit-balance issues, and ensures batches are posted, reconciled, closed, and processed accurately and on time while meeting productivity and quality standards.
Requirements
- High school diploma or GED.
- Proficiency with Windows 10 and Microsoft Office.
- Strong Microsoft Excel and Access skills.
- Ability to work independently and as part of a team with minimal supervision.
- Proficiency with web tools and technology.
- Knowledge of accounting ledgers and balance sheets.
- Strong organizational and interpersonal skills.
- Excellent verbal and written communication skills.
Nice To Haves
- Bachelor’s degree in Accounting, Finance, or Business.
- Knowledge of Epic.
- EDI-related experience.
- Medical billing and/or banking experience.
Responsibilities
- Interact with co-workers, visitors, and other staff consistent with Jefferson’s values.
- Identify and resolve payment issues through research and investigation.
- Review explanations of benefits to confirm payments were applied appropriately.
- Contact third-party payors or use payor portals to obtain additional information as needed.
- Use online payor portals, such as Navinet, for claims determination, eligibility, offset requests, and appeals.
- Apply payments and adjustments to patient accounts according to third-party regulations, maintaining accurate accounts receivable and balance billing while meeting productivity benchmarks.
- Interpret and validate transaction postings for payments and denials received through explanation-of-benefits images or electronic remittance posting work queues.
- Research over-posted or undistributed credit balances through credit work queues.
- Confirm cash records are properly linked to associated payment batches before posting.
- Ensure batches are posted, reconciled, closed, and processed accurately and promptly.
- Communicate potential system and reimbursement issues to the supervisor for review and analysis.
- Follow workflows and maintain quality-assurance standards.
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
- Access to medical insurance, including prescription coverage, for all colleagues, including per diem colleagues, adjunct faculty, and Jeff Temps
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
