[Hiring] 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.

Job Duties

• 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 (preferred)
• Experience working with EPIC (preferred)
• Experience in telecommuting (preferred)
• Knowledge of IDC-10 and CPT coding (preferred)

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, which provide colleagues with access to group rates on insurance and discounts.
• 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.