Revenue Cycle Payment Research Specialist

Jefferson Health; Jenkintown (PA); Presencial; USD 42.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical Insurance

Tuition Assistance

Retirement Plans

Descripción de la vacante

Jefferson Health’s Payment Research Representative role focuses on accurate handling and reconciliation of payments within the Jefferson Revenue Cycle Enterprise. You will work with Payment Representatives, Accounting and Finance to investigate and resolve payment-related issues.

Responsibilities include reviewing EOBs, querying third-party payors, posting payments and adjustments, and ensuring batches reconcile and post timely. Strong Excel/Access and communication skills are required.

Formación

• High School Diploma or GED required.
• Strong MS Excel and Access skills.
• Ability to work independently and in a team with minimal supervision.
• Knowledge of accounting ledgers and balance sheets.
• Excellent verbal and written communication skills.

Responsabilidades

• Interacts with staff to identify and resolve payment issues through research.
• Review explanations of benefits to confirm payments were applied correctly.
• Contact third party payors or view payor portals for information as needed.
• Utilize payor portals (e.g., Navinet) for determinations and appeals.
• Apply payments and adjustments to patient accounts per third party rules.

Conocimientos

MS Excel

Access

Windows 10

Organizational skills

Verbal & written communication

Educación

High School Diploma or GED

Bachelor’s in Accounting/Finance/Business

Herramientas

Navinet

EpicEDI

Descripción del empleo

Jefferson Health’s Payment Research Representative role focuses on accurate handling and reconciliation of payments within the Jefferson Revenue Cycle Enterprise. You will work with Payment Representatives, Accounting and Finance to investigate and resolve payment-related issues.

Responsibilities include reviewing EOBs, querying third-party payors, posting payments and adjustments, and ensuring batches reconcile and post timely. Strong Excel/Access and communication skills are required.