Revenue Cycle Representative I
Jefferson, Willow Grove, PA, United States
Revenue Cycle Representative I
The Revenue Cycle Representative I position will follow-up with insurance payors on rejected or underpaid claims, initiate claim reviews and work open claims in a timely manner to maximize reimbursement.
Essential Functions
Resubmit claims to insurance payors with appropriate modifications using Epic follow-up system or other automated system that requires documentation of actions.
Knowledge of insurance registration and ability to use payor websites to verify patient eligibility.
Ability to understand insurance denial codes and take corresponding action to resolve the denial as well as identify and report any rejection trends that affect reimbursement.
Ability to meet weekly productivity standards established for all staff.
Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
Competencies (Knowledge, Skills, and Abilities Required): EPIC EXPERIENCE
Minimum Education and Experience Requirements: High School or GED
Work Shift: Workday Day (United States of America)
Worker Sub Type: Regular
Employee Entity: Abington Memorial Hospital
Primary Location Address: 2500 Maryland Road, Willow Grove, 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, 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.
The Revenue Cycle Representative I position will follow-up with insurance payors on rejected or underpaid claims, initiate claim reviews and work open claims in a timely manner to maximize reimbursement.
Essential Functions
Resubmit claims to insurance payors with appropriate modifications using Epic follow-up system or other automated system that requires documentation of actions.
Knowledge of insurance registration and ability to use payor websites to verify patient eligibility.
Ability to understand insurance denial codes and take corresponding action to resolve the denial as well as identify and report any rejection trends that affect reimbursement.
Ability to meet weekly productivity standards established for all staff.
Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
Competencies (Knowledge, Skills, and Abilities Required): EPIC EXPERIENCE
Minimum Education and Experience Requirements: High School or GED
Work Shift: Workday Day (United States of America)
Worker Sub Type: Regular
Employee Entity: Abington Memorial Hospital
Primary Location Address: 2500 Maryland Road, Willow Grove, 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, 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.