Revenue Cycle Representative Ii

careers.jefferson.edu

Elkins Park, Pennsylvania, United States of America
Fully remote
Complex case claim denial resolution
Communication with payers and patients
Knowledge of insurance plans and contract language
The Revenue Cycle Representative II position at Jefferson involves managing complex claim denial resolutions through effective communication with payers, hospital departments, and patients, while maintaining productivity and quality standards. The role requires a minimum of three years of experience in hospital revenue cycle and knowledge of healthcare billing and coding guidelines

Job Summary

  • 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.
  • Jefferson offers a comprehensive package of benefits including medical, dental, vision, life insurance, disability, flexible spending accounts, retirement plans, and tuition assistance.
  • Jefferson is committed to providing equal educational and employment opportunities without regard to any protected status.

Matching Summary

Match Score: 85

The Revenue Cycle Representative II position at Jefferson involves managing complex claim denial resolutions through effective communication with payers, hospital departments, and patients, while maintaining productivity and quality standards. The role requires a minimum of three years of experience in hospital revenue cycle and knowledge of healthcare billing and coding guidelines.

Skills & Requirements

Must-have

  • complex case claim denial resolution
  • communication with payers and patients
  • knowledge of insurance plans and contract language
  • proficiency in Windows 10 and Microsoft Office
  • knowledge of State and Federal healthcare billing guidelines

Nice-to-have

  • experience working with Epic
  • ability to work independently
  • courteous and professional communication
  • maintaining productivity and quality standards
  • team-oriented consistent with company values

Key Requirements

  • High School Diploma/GED required
  • Associates or Bachelors degree preferred
  • Minimum 3 years hospital revenue cycle experience
  • Knowledge of State and Federal healthcare billing and coding guidelines
  • Experience with Epic preferred

Work Rights

Not specified

Tailored Resume

Cover Letter