Revenue Cycle Representative I

Jefferson Health; United States; A distancia; USD 42.000 - 56.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Dental insurance

Vision insurance

Retirement plan

Tuition assistance

Flexible spending accounts

Descripción de la vacante

Jefferson Health is seeking a Revenue Cycle Representative I to handle follow-up with payers, patients and departments to resolve outstanding balances. You will review unpaid/denied accounts, gather information, and coordinate with internal teams to resolve discrepancies.

The role requires 1–2 years in healthcare revenue cycle, proficiency in Microsoft Office, and familiarity with Epic. Telecommuting is available, with standard days shifts within the United States.

Formación

• 1–2 years of healthcare revenue cycle experience required.
• Knowledge of healthcare terminology, insurance plans and contract language preferred.
• Proficiency in Windows 10 and Microsoft Office.
• Experience with Epic preferred.

Responsabilidades

• Contact payers regarding unpaid or denied accounts to pursue resolution.
• Coordinate with third party payers, hospital departments, and patients to obtain information for resolution.
• Resolve claim edits with internal departments and update adjustments as needed.
• Analyze and research payment discrepancies to determine actions for resolution.
• Maintain understanding of various third-party carriers and regulatory requirements for full payment.

Conocimientos

Healthcare revenue cycle

Microsoft Office

Communication

Attention to detail

Educación

High School Diploma/GED

Associate's degree

Bachelor's degree

Herramientas

Epic

Descripción del empleo

Revenue Cycle Representative I

PRIMARY FUNCTION: Responsible for the follow-up with all third party payers, patients and other departments related to outstanding account balances, payment discrepancies and execute resolution.

ESSENTIAL FUNCTIONS

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. Maintains understanding of various third-party insurance carriers and regulatory requirements as related to receiving full and proper payments. Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

OTHER FUNCTIONS AND COMPETENCIES

Completes account adjustments as required. Reviews correspondence and takes appropriate action to expedite resolution of outstanding receivables with established quality/time standards. Contacts payers regarding unpaid accounts within designated timeframes. Maintains productivity and quality requirements as defined by departmental policy. Other duties as assigned by supervisor. Demonstrated ability to work independently with minimal supervision.

EDUCATIONAL/TRAINING REQUIREMENTS

High School Diploma/GED required Associates or Bachelor's degree preferred

EXPERIENCE 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

ADDITIONAL INFORMATION

Strong organizational and interpersonal skills; excellent verbal and written communication skills. Position is eligible for telecommuting (work from home).

WORK SHIFT

Workday Day (United States of America)

WORKER SUB TYPE

Regular Employee

ENTITY

Thomas Jefferson University Hospitals, Inc.

PRIMARY LOCATION ADDRESS

833 Chestnut Street, Philadelphia, Pennsylvania, United States of America

EMPLOYER INFORMATION

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

BENEFITS

• medical (including prescription)
• supplemental insurance
• dental
• vision
• life
• AD&D insurance
• short- and long-term disability
• flexible spending accounts
• retirement plans
• tuition assistance
• voluntary benefits

Colleagues have 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. For more benefits information.

EQUAL OPPORTUNITY / EEO

Jefferson encourages its employees to expand their knowledge and develop their careers through growth opportunities and continuing education. With a long standing history, Jefferson has been advancing the medical field from the heart of Center City Philadelphia for nearly 200 years. Our Mission, We Improve Lives, expands to every corner of the organization. From our weekly farmer’s market, to our new Jefferson Accelerator Zone for innovation, our employees’ passion for the community is evident by the daily gestures towards our patients, students and each other.