Minimum 3 years of experience working in hospital revenue cycle
Working knowledge of insurance plans and contract language
Computer skills, including proficiency in Windows 10 and Microsoft Office
Knowledge of State and Federal healthcare billing and coding guidelines.
Experience working with Epic preferred.
Work from home
Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Albert Einstein Medical Center Primary Location Address
60 Township Line Road, Elkins Park, Pennsylvania, United States of America
Benefits
For more benefits information, pleaseHealth insuranceDental insuranceVision insuranceFlexible schedule
Additional Information
Job Details
Revenue Cycle Representative II
Job Description
Revenue Cycle Representative II is responsible for reviewing, analyzing and initiating appropriate action for complex case claim denial resolution by communicating with payers, hospital departments and patients.
Essential Functions
Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
Completes appropriate strategy for an effective appeal including conducting authorization research, rebilling, and balance write off or transfer for next responsible party.
Corresponds with third party payers, hospital departments, and patients to obtain information required for denial resolution.
Uses reference material to troubleshoot payer issues and increase understanding of denial resolution techniques. Reference payer websites or contact as needed.
Maintains understanding of third party regulations for appeals and appeal follow-up.
Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
Competencies (Knowledge, Skills, and Abilities Required):
Communicate with patients, insurance carriers, physician's offices, and other hospital departments in a courteous and professional manner.
Maintains productivity and quality requirements as defined by department policy.
Demonstrated ability to work independently with minimal supervision.
Other duties as assigned by supervisor.
Minimum Education and Experience Requirements:
Education:
High School Diploma/GED required
Associates or Bachelors degree preferred
AND
Jeffersonhealth · Einstein 60 Township Line Road