Jefferson Health · 21 hours ago
Revenue Cycle Representative
United States
Full-time
Remote
Entry Level
1+ years expJefferson Health is a nationally ranked health care system dedicated to providing high-quality clinical care. The Revenue Cycle Representative is responsible for follow-up with third-party payers and patients regarding outstanding account balances and payment discrepancies, ensuring timely resolution of claims and maintaining understanding of insurance regulations.
Hospital & Health Care
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
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
Qualification
Required
High School Diploma/GED required
1-2 years of healthcare revenue cycle experience required
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
Strong organizational and interpersonal skills; excellent verbal and written communication skills
Demonstrated ability to work independently with minimal supervision
Preferred
Associates or Bachelor's degree preferred
Demonstrated understanding of healthcare terminology, insurance plans and contract language preferred
Experience working with Epic preferred
Benefits
Medical (including prescription)
Supplemental insurance
Dental
Vision
Life and AD&D insurance
Short- and long-term disability
Flexible spending accounts
Retirement plans
Tuition assistance
Voluntary benefits
Company
Jefferson Health
Thomas Jefferson University and Thomas Jefferson University Hospitals are partners in providing excellent clinical and compassionate care for our patients in the Philadelphia region, educating the health professionals of tomorrow in a variety of disciplines and discovering new knowledge that will define the future of clinical care.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
ANTHONY S. NAH, Jr., B.S., MSc.
President / CEO
Ron Kumor
President/ CEO Aria Jefferson Health Physician Services and Senior Vice President, Network Dev
Recent News
Philadelphia Business Journal
2025-03-26
2024-04-29
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