Revenue cycle representative
About The Position
Responsible for administering billing to secondary and tertiary payers in alignment with regulations and hospital policies. The role researches and responds to billing-process inquiries and complaints, resolving all elements needed for processing. It processes claims and edits through assigned work queues, researches and corrects accounts to ensure accurate billing, stays current on payer plan changes and websites to determine benefit eligibility, and reviews and resolves assigned charge-review edits. The representative interacts with coworkers, visitors, and other staff in a manner consistent with Jefferson’s values.
Requirements
- High school diploma or GED.
- Two years of healthcare revenue cycle experience or related experience.
- Knowledge of healthcare terminology.
- Knowledge of state and federal healthcare billing guidelines.
- Demonstrated proficiency in mathematics.
Nice To Haves
- Bachelor’s degree or master’s degree.
- Experience working with EPIC.
- Experience in telecommuting.
- Knowledge of IDC-10 and CPT coding.
Responsibilities
- Process claims and edits through assigned work queues so third parties receive information in a timely and accurate manner.
- Research accounts, make necessary corrections, and update them to ensure accurate billing.
- Stay current on payer plan changes, updates, and websites to determine benefit eligibility.
- Review and resolve assigned charge-review edits.
- Research and respond to billing-process inquiries and complaints, resolving elements needed for processing.
- Interact with coworkers, visitors, and other staff consistent with Jefferson’s values.
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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
