Revenue Cycle Representative I

About the role

Responsible for the follow-up with all third-party payers, patients and other departments related to outstanding account balances, payment discrepancies and execute resolution.

Responsibilities

• Interact 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.
• Contact payers regarding unpaid accounts within designated timeframes.
• Maintain understanding of various third-party insurance carriers and regulatory requirements as related to receiving full and proper payments.
• Maintain productivity and quality requirements as defined by departmental policy.
• Demonstrated ability to work independently with minimal supervision.
• Review correspondence and take appropriate action to expedite resolution of outstanding receivables with established quality/time standards.

Education

• High School Diploma/GED required
• Associates or Bachelors degree preferred