Revenue Cycle Representative
Location
United States
Posted
11 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Revenue Cycle Representative
Jefferson Health Plans
Role Description Responsible for administering the billing to secondary and tertiary payers in alignment with all regulations and hospital policies. Research and respond to inquiries/complaints related to the billing process resolving all elements for processing. - Processes claims and edits via assigned work queues to ensure third parties have received the information in a timely and accurate fashion. - Research, make necessary corrections and update accounts ensuring accurate billing. - Remains current on payer plan changes, updates and website in determining benefit eligibility. - Review and resolve assigned charge review edits. - Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Qualifications - High School Diploma/GED - 2 years healthcare revenue cycle experience or related experience - Knowledge of healthcare terminology - Knowledge of State and Federal healthcare billing guidelines - Demonstrated proficiency in mathematics Requirements - Bachelor’s Degree or Master’s Degree - Experience working with EPIC - Experience in telecommuting - Knowledge of IDC-10 and CPT coding Physical Demands - Lift and carry 25 lbs. - Frequent sitting/standing - Frequent keyboard use - Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR. Benefits - 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. - 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.
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