Revenue Cycle Payment Research Specialist II

Jefferson Health; United States; On-site; USD 45,000 - 70,000; Full time

Benefits offered by this job

Medical insurance

Supplemental insurance

Dental

Vision

Life and AD&D insurance

Disability insurance

Flexible spending accounts

Retirement plans

Tuition assistance

Voluntary benefits

Job summary

Jefferson Health is hiring a Payment Research Representative to oversee handling and reconciliation of payments within the Jefferson Revenue Cycle Enterprise. The role collaborates with Payment Representatives, Accounting and Finance to investigate and resolve cash processing issues.

The position emphasizes accuracy, timely posting, and adherence to workflow standards in a busy hospital finance environment across the Philadelphia area.

Qualifications

• High School Diploma/GED is required.
• Proficient in Windows 10 and Microsoft Office.
• Strong MS Excel and Access skills.
• Ability to work independently and as part of a team with minimal supervision.
• Proficient in web tools and technology.
• Knowledge of accounting ledgers and balance sheets.
• Strong organizational and interpersonal skills; excellent verbal and written communication skills.

Responsibilities

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Identify and resolve payment issues through research and investigation.
• Review explanation of benefits to confirm payments were applied appropriately.
• Contact third party payors or view payor portals to obtain additional information as necessary.
• Utilize online payor portals, such as Navinet, for claims determination, eligibility, offset requests and appeals.
• Applies payment and adjustments to patient accounts per third party regulations, providing accurate accounts receivable and balance billing while meeting the department’s established productivity benchmarks.

Skills

High School Diploma/GED

MS Office proficiency

Excel

Access

Teamwork

Attention to detail

Verbal and written communication

Education

Bachelor’s Degree in Accounting, Finance or Business

Tools

Windows 10

Microsoft Office

Excel

Access

Job description

Jefferson Health is hiring a Payment Research Representative to oversee handling and reconciliation of payments within the Jefferson Revenue Cycle Enterprise. The role collaborates with Payment Representatives, Accounting and Finance to investigate and resolve cash processing issues.

The position emphasizes accuracy, timely posting, and adherence to workflow standards in a busy hospital finance environment across the Philadelphia area.