Thomas Jefferson University · 7 hours ago

Revenue Cycle Representative II

Montgomery County, PA

Full-time

Remote

Entry Level

1+ years exp

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Continuing EducationE-Learning

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Responsibilities

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.

Qualification

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Healthcare revenue cycleHealthcare terminologyInsurance plansContract languageWindows 10Microsoft OfficeMathematics proficiencyHealthcare guidelinesEpic