Revenue Cycle Associate I: Payer Follow-Up & Claims

Jefferson Health; United States; Presencial; USD 25.000 - 39.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Dental insurance

Vision insurance

Retirement plans

Tuition assistance

Flexible spending accounts

Descripción de la vacante

Jefferson Health is seeking a Revenue Cycle Representative I to manage follow-up with third-party payers, patients, and internal departments for outstanding balances and payment discrepancies. The role requires effective communication and independent work to meet deadlines and quality standards.

Responsibilities include contacting payers about unpaid/denied accounts, resolving edits, updating adjustments, and researching discrepancies to drive timely payments.

Formación

• Epic Proficient with Commercial and Multiplan Payer knowledge.
• Strong payer follow-up and denials resolution skills.
• Ability to analyze and resolve payment discrepancies.

Responsabilidades

• Follow up with third-party payers, patients, and departments on outstanding balances.
• Contact payers regarding unpaid or denied accounts.
• Obtain information required for account resolution (unpaid/denied accounts, payment variances).
• Resolve claim edits with internal departments.
• Update and reconcile adjustments as necessary.
• Analyze and research payment discrepancies to determine resolution actions.
• Communicate with payers within designated timeframes to expedite resolution.

Conocimientos

Epic Proficient

Payer Knowledge

Educación

High School Diploma/GED

Associates or Bachelors

Descripción del empleo

Jefferson Health is seeking a Revenue Cycle Representative I to manage follow-up with third-party payers, patients, and internal departments for outstanding balances and payment discrepancies. The role requires effective communication and independent work to meet deadlines and quality standards.

Responsibilities include contacting payers about unpaid/denied accounts, resolving edits, updating adjustments, and researching discrepancies to drive timely payments.