Revenue Cycle Rep II
Jefferson, Phila, PA, United States
Revenue Cycle Representative II
Summary The Payment Research Representative is responsible for proper handling and reconciliation of payments received throughout the Jefferson Revenue Cycle Enterprise. Working closely with Payment Representatives, Accounting and Finance, the Payment Research Rep will investigate and resolve issues impacting cash processing and reconciliation.
Job Duties
Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
Identify and resolve payment issues through research and investigation. Review explanation of benefits to confirm payments were applied appropriately.
Contact third party payors or view payor portals to obtain additional information as necessary.
Utilize online payor portals, such as Navinet, for claims determination, eligibility, offset requests and appeals.
Applies payment and adjustments to patient accounts per third party regulations, providing accurate accounts receivable and balance billing while meeting the department's established productivity benchmarks.
Interprets and validates transaction postings of payments and denials received from third party explanation of benefits either in the form of batched images or via electronic remittance posting work queues.
Research over-posted or undistributed credit balances via credit work queues.
Confirm that cash records are properly linked to associated payment batches prior to posting. Ensure that batches are posted, reconciled, closed and processed timely and accurately.
Communicate possible system and reimbursement issues to the supervisor who will facilitate a review and analysis of the potential impact and confirm best course of action.
Adhere to workflows and ensure quality assurance standards are maintained at all times.
Minimum Qualifications
High School Diploma/GED
Proficient in Windows 10 and Microsoft Office. Strong MS Excel and Access skills required.
Ability to work independently and as part of a team with minimal supervision
Proficient in web tools and technology
Knowledge of accounting ledgers and balance sheets
Strong organizational and interpersonal skills; excellent verbal and written communication skills
Preferred Qualifications
Bachelor's Degree Accounting, Finance or Business
Knowledge of Epic
EDI related experience
Medical billing and or banking experience 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.
Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Thomas Jefferson University
Primary Location Address
1101 Market, Philadelphia, Pennsylvania, United States of America
Summary The Payment Research Representative is responsible for proper handling and reconciliation of payments received throughout the Jefferson Revenue Cycle Enterprise. Working closely with Payment Representatives, Accounting and Finance, the Payment Research Rep will investigate and resolve issues impacting cash processing and reconciliation.
Job Duties
Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
Identify and resolve payment issues through research and investigation. Review explanation of benefits to confirm payments were applied appropriately.
Contact third party payors or view payor portals to obtain additional information as necessary.
Utilize online payor portals, such as Navinet, for claims determination, eligibility, offset requests and appeals.
Applies payment and adjustments to patient accounts per third party regulations, providing accurate accounts receivable and balance billing while meeting the department's established productivity benchmarks.
Interprets and validates transaction postings of payments and denials received from third party explanation of benefits either in the form of batched images or via electronic remittance posting work queues.
Research over-posted or undistributed credit balances via credit work queues.
Confirm that cash records are properly linked to associated payment batches prior to posting. Ensure that batches are posted, reconciled, closed and processed timely and accurately.
Communicate possible system and reimbursement issues to the supervisor who will facilitate a review and analysis of the potential impact and confirm best course of action.
Adhere to workflows and ensure quality assurance standards are maintained at all times.
Minimum Qualifications
High School Diploma/GED
Proficient in Windows 10 and Microsoft Office. Strong MS Excel and Access skills required.
Ability to work independently and as part of a team with minimal supervision
Proficient in web tools and technology
Knowledge of accounting ledgers and balance sheets
Strong organizational and interpersonal skills; excellent verbal and written communication skills
Preferred Qualifications
Bachelor's Degree Accounting, Finance or Business
Knowledge of Epic
EDI related experience
Medical billing and or banking experience 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.
Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Thomas Jefferson University
Primary Location Address
1101 Market, Philadelphia, Pennsylvania, United States of America