Revenue Cycle Representative II

Number of Positions in Requisition 1 Job Details Revenue Cycle Representative II Job Description

The Payment Research Representative is responsible for proper handling and reconciliation of payments received throughout the Jefferson Revenue Cycle Enterprise. Working closely with Payment Representatives, Accounting and Finance, the Payment Research Rep will investigate and resolve issues impacting cash processing and reconciliation.

Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Identify and resolve payment issues through research and investigation. Review explanation of benefits to confirm payments were applied appropriately. Contact third party payors or view payor portals to obtain additional information as necessary. Utilize online payor portals, such as Navinet, for claims determination, eligibility, offset requests and appeals.

Applies payment and adjustments to patient accounts per third party regulations, providing accurate accounts receivable and balance billing while meeting the department’s established productivity benchmarks. Interprets and validates transaction postings of payments and denials received from third party explanation of benefits either in the form of batched images or via electronic remittance posting work queues. Research over-posted or undistributed credit balances via credit work queues.

Confirm that cash records are properly linked to associated payment batches prior to posting. Ensure that batches are posted, reconciled, closed and processed timely and accurately. Communicate possible system and reimbursement issues to the supervisor who will facilitate a review and analysis of the potential impact and confirm best course of action. Adhere to workflows and ensure quality assurance standards are maintained at all times.

• Education
  - Required High School Diploma/GED
• Education
  - Preferred Bachelor’s Degree Accounting, Finance or Business
• Knowledge,
  
  Skills and Abilities
  
  - Required Proficient in Windows 10 and Microsoft Office. Strong MS Excel and Access skills required. Ability to work independently and as part of a team with minimal supervision Proficient in web tools and technology Knowledge of accounting ledgers and balance sheets Strong organizational and interpersonal skills; excellent verbal and written communication skills Knowledge,
  
  Skills and Abilities
  
  - Preferred Knowledge of Epic EDI related experience Medical billing and or banking experience preferred

Salary Range $17.41 to $24.81 Hourly The actual hiring rate will be determined based on candidate experience, skills and qualifications. This position is not eligible for an annual incentive. Positions posted as annual salaries reflect an estimated amount for a 1.0 Full-Time Equivalent (FTE) (i.e. 40 hour equivalent)), positions for less than 1.0 FTE will be prorated.)

Work Shift Workday Day (United States of America)

Worker Sub Type Regular Employee

Entity Kennedy University Hospitals, Inc Primary Location Address 101 Woodcrest, Cherry Hill, New Jersey, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers;

and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson…