Revenue Cycle Representative II
About The Position
The Payment Research Representative is responsible for properly handling and reconciling 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 includes researching payment issues, reviewing explanation-of-benefits documents, applying payments and adjustments to patient accounts, and ensuring batches are accurately reconciled and processed on time. The position is based at 60 Township Line Road in Elkins Park, Pennsylvania. The listed work shift is Workday Day. The role requires frequent sitting or standing and keyboard use, as well as the ability to lift and carry 25 pounds. Other physical activities may apply to patient-care providers as specific to their roles.
Requirements
- High school diploma or GED.
- Proficiency in 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.
- 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 necessary.
- 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 batched images or electronic remittance posting work queues.
- Research over-posted or undistributed credit balances through credit work queues.
- Confirm cash records are linked to their associated payment batches before posting.
- Ensure batches are posted, reconciled, closed, and processed accurately and on time.
- Communicate possible system and reimbursement issues to the supervisor for review and analysis and to confirm an appropriate course of action.
- 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 with 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
