Revenue Cycle Representative

Revenue Cycle Representative I Follow - Up 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 needed in addition to Essential Functions: 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 Primary Location Address: 615 Chestnut Street, Philadelphia, Pennsylvania, United States of America 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. Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. 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.