Revenue Cycle Representive 1

Jefferson Health

Philadelphia, Pennsylvania, United States
Follow-up on rejected claims
Initiate claim reviews
Work open claims
Follow-up with insurance payors on rejected or underpaid claims and initiate claim reviews where appropriate to maximize reimbursement

Job Summary

  • Follow-up with insurance payors on rejected or underpaid claims and initiate claim reviews where appropriate to maximize reimbursement.
  • Understand insurance denial codes, use payor websites to verify patient eligibility, and remain current on insurance payor rules and regulations.
  • Jefferson offers a comprehensive package of benefits including medical, dental, vision, retirement plans, and tuition assistance.

Matching Summary

Follow-up with insurance payors on rejected or underpaid claims and initiate claim reviews where appropriate to maximize reimbursement.

Skills & Requirements

Must-have

  • Follow-up on rejected claims
  • Initiate claim reviews
  • Work open claims
  • Resubmit claims
  • Understand insurance denial codes
  • Use payor websites
  • Epic follow-up system experience

Nice-to-have

  • Good communication skills
  • Team environment flexibility
  • Accept special projects
  • Interacts with co-workers

Key Requirements

  • High School degree or GED equivalent
  • Two to three years accounts receivable/billing experience
  • Experience in insurance claims processing
  • Knowledge of third party rules and regulations
  • Knowledge of ICD-10 and CPT coding preferred
  • Experience in Epic billing system highly desirable

Work Rights

Not specified

Tailored Resume

Cover Letter