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[Hiring] Rev Cycle Representative I @Jefferson Health Plans
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
Responsible for the follow-up with all third party payers, patients and other departments related to outstanding account balances, payment discrepancies and execute resolution.
- 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.
- Maintain understanding of various third party insurance carriers and regulatory requirements as related to receiving full and proper payments.
- Interact with co-workers, visitors, and other staff consistent with the values of Jefferson.
- Complete account adjustments as required.
- Review correspondence and take appropriate action to expedite resolution of outstanding receivables with established quality/time standards.
- Contact payers regarding unpaid accounts within designated timeframes.
- Maintain productivity and quality requirements as defined by departmental policy.
- Other duties as assigned by supervisor.
- Demonstrated ability to work independently with minimal supervision.
Qualifications
- High School Diploma/GED required
- Associates or Bachelors degree preferred
Requirements
- 1-2 years of healthcare revenue cycle experience required
- Demonstrated understanding of healthcare terminology, insurance plans and contract language preferred
- Ability to communicate clearly (both written and verbal)
- Computer skills, including proficiency in Windows 10 and Microsoft Office
- Demonstrated proficiency in mathematics
- Knowledge of State and Federal healthcare guidelines and regulations
- Experience working with Epic preferred
Benefits
- 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.
- 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.
