Revenue Cycle Representative I

Jefferson Health

Willow Grove, Pennsylvania, United States
On-site
Follow-up on rejected claims
Initiate claim reviews
Work open claims
Jefferson Health is seeking a Revenue Cycle Representative I in Willow Grove, Pennsylvania, to manage follow-ups on rejected or underpaid insurance claims, ensuring timely reimbursement. The role requires familiarity with insurance processes and the ability to meet productivity standards

Job Summary

  • The Revenue Cycle Representative I position will follow-up with insurance payors on rejected or underpaid claims, initiate claim reviews and work open claims in a timely manner to maximize reimbursement.
  • Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits.
  • Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Matching Summary

Match Score: 75

Jefferson Health is seeking a Revenue Cycle Representative I in Willow Grove, Pennsylvania, to manage follow-ups on rejected or underpaid insurance claims, ensuring timely reimbursement. The role requires familiarity with insurance processes and the ability to meet productivity standards.

Skills & Requirements

Must-have

  • Follow-up on rejected claims
  • Initiate claim reviews
  • Work open claims
  • Resubmit claims to payors
  • Use Epic follow-up system
  • Verify patient eligibility
  • Understand insurance denial codes
  • Report rejection trends

Nice-to-have

  • Meet weekly productivity standards
  • Interact with co-workers and staff

Key Requirements

  • High School or GED
  • EPIC EXPERIENCE

Work Rights

Not specified

Tailored Resume

Cover Letter