Revenue Cycle Representative I

Job Details

Revenue Cycle Representative I

Job Description

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

· Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

· 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.

· Contacts payers regarding unpaid accounts within designated timeframes.

· 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.

· Maintains productivity and quality requirements as defined by departmental policy.

· Demonstrated ability to work independently with minimal supervision.

• Reviews correspondence and takes appropriate action to expedite resolution of outstanding receivables with established quality/time standards.

Education:

High School Diploma/GED required

Associates or Bachelors degree preferred

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Abington Memorial Hospital

Primary Location Address

1200 Old York Road, Abington, Pennsylvania, United States of America

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.