Remote Revenue Cycle Specialist II - Denials & Appeals

Health Partners Plans; United States; Remote; USD 52.000 - 78.000; Vollzeit

Zusammenfassung

Jefferson Health is seeking a Revenue Cycle Representative II to review, analyze and initiate denial resolution actions by coordinating with payers, hospital departments and patients. The role emphasizes collaboration and accuracy in handling complex cases.

Work from home option with a Day shift in the United States. Requires 3+ years in hospital revenue cycle, familiarity with Epic, and knowledge of billing guidelines; Associates or Bachelor's degree preferred.

Qualifikationen

• High School Diploma or GED required.
• Associates or Bachelor's degree preferred.
• Minimum 3 years in hospital revenue cycle.
• Experience with Epic preferred.
• Knowledge of state and federal healthcare billing guidelines.

Aufgaben

• Review, analyze and initiate denial resolution actions with payers, hospital departments and patients.
• Communicate with third party payers and hospital departments to obtain needed information for denial resolution.
• Troubleshoot payer issues using reference materials and compliance guidelines.

Kenntnisse

Patient communication

Independent work

Timeliness & accuracy

Ausbildung

High School Diploma/GED

Associates or Bachelor's preferred

Tools

Windows 10

Microsoft Office

Epic

Jobbeschreibung

Jefferson Health is seeking a Revenue Cycle Representative II to review, analyze and initiate denial resolution actions by coordinating with payers, hospital departments and patients. The role emphasizes collaboration and accuracy in handling complex cases.

Work from home option with a Day shift in the United States. Requires 3+ years in hospital revenue cycle, familiarity with Epic, and knowledge of billing guidelines; Associates or Bachelor's degree preferred.