Rev Cycle Representative I

Revenue Cycle Representative I

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

Interacts 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.
• Contacts payers regarding unpaid accounts within designated timeframes.
• Maintains understanding of various third-party insurance carriers and regulatory requirements as related to receiving full and proper payments.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Maintains productivity and quality requirements as defined by departmental policy.
• Demonstrated ability to work independently with minimal supervision.

Reviews correspondence and takes appropriate action to expedite resolution of outstanding receivables with established quality / time standards.

Education :

High School Diploma / GED required

Associates or Bachelors degree preferred

Workday Day (United States of America)

Regular

Employee Entity : Abington Memorial Hospital

Primary Location Address : 2510 Maryland Road, Willow Grove, Pennsylvania, United States of America