FT DAY-7:30-7pm- Einstein Montgomery Campus- East Norriton

Primary Function:

• Understands the importance Einstein Healthcare Network places on providing exemplary customer service and performs job functions in a manner that helps meet the department customer service goals.
• Identifies customer service issues and resolves or initiates necessary follow-up.
• Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information. Explains necessary forms and obtains signatures from patient/guarantor.
• Utilizes appropriate reports to contact insurance payers, verifying benefits and obtaining necessary authorizations. Documents authorization and benefit information in registration system. Work with payors to resolve accounts that are pending or denied.
• Screens patient/guarantor for federal, state, county or other assistance programs and completes necessary forms and applications per facility guidelines.
• Explains insurance benefits and collects current and outstanding co-pays, deductibles and self-pay portions due or establishes payment arrangements for these balances as appropriate.

• Maintains a working knowledge of third-party reimbursement requirements and regulations.
• Exhibits working knowledge in the use of all registration and scheduling systems, electronic verification

• tools and Web based resources.
• Follows Patient Financial Services self-pay policies including self-pay fee schedules, completion of Medical Assistance and Charity Care Application, explanation of payment options and collections of monies due.

• Follows Patient Financial Services policies related to cash handling and performs department cashiering functions and point of service transactions.
• Maintains understanding of the medical necessity screening process and appropriate systems and a working knowledge of ICD-9 and CPT codes.
• Performs appropriate pre-registration functions including calling physician offices, insurance payers and

• the patient/guarantor, as necessary.

• Cross-trained with appropriate knowledge and skills necessary to staff multiple areas within department,

• including but not limited to Diagnostic/Interventional, Admissions, Cashier, Pre-Registration, Scheduling and Emergency Department.
• Participates in training of new team members.

• Work closely with Nursing, Ancillary, Scheduling, Case Management, Social Workers, Managed Care

• Companies, Physicians, Administration and Patient Accounting.

• Maintains departmental logs for statistical reporting. Works departmental reports as assigned.
• Consistently meets Quality Assurance standards set by Patient Financial Services department.

• Meets departmental goals regarding collections, productivity and customer service.
• Participates in internal department committees.
• Assists his/her manager in planning and organizing department activities.

The Financial Counselor/MA Specialist interviews in-house patients referred for Medical Assistance applications. Obtains various paperwork from patients and other hospital departments that are necessary to secure applications according to MA regulations. Work with County Assistance office and referral agencies to obtain Medical Assistance approvals. Process and perform system maintenance pertaining to PA 162 forms. Work with Case Management to insure MA 87s are processed according to MA regulations. Provide support for MA biller.

Qualifications

Education/Training/Experience:

High School diploma or equivalent

Two (2) years' experience in a financial, business office, or customer service environment required.

One year hospital business office experience required

Demonstrated computer skills (including Microsoft Word and Excel).

Working Knowledge of ICD9 coding and medical terminology.

Able to work with minimal supervision.

Well organized, self motivated individual with a positive attitude.

Excellent customer service skills.

Ability to work effectively with all payor and hospital personnel

Conditions of Employment

Covid Vaccination is a requirement for employment at Jefferson for employees working at Jefferson's clinical entities or at the University. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date if you are offered employment, unless you request and receive an approved medical or religious exemption from Jefferson.

Closing Statement

Jefferson includes Thomas Jefferson University and Jefferson Health, a dynamic university and health system with broad reach across the Delaware Valley. Jefferson is the second largest employer in Philadelphia and the largest health system in Philadelphia based on total licensed beds.

Through the merger of Thomas Jefferson University and Philadelphia University in 2017, our University includes ten colleges and four schools. We are an NCAA Division II university and an R2 national doctoral university offering undergraduate and graduate-level programs that provide students with a forward-thinking education in architecture, business, design, engineering, fashion and textiles, health, medicine and social science.

Jefferson Health, the clinical arm of Thomas Jefferson University, has grown from a three-hospital academic health center in 2015, to an 18-hospital health system through mergers and combinations that include hospitals at Abington Health, Aria Health, Kennedy Health, Magee Rehabilitation and Einstein Healthcare Network. We have over 50 outpatient and urgent care centers; ten Magnet®-designated hospitals (recognized by the ANCC for nursing excellence); the NCI-designated Sidney Kimmel Cancer Center (one of only 70 in the country and one of only two in the region); and one of the largest faculty-based telehealth networks in the country. In 2021, Jefferson Health became the sole owner of HealthPartners Plan, a not-for-profit health maintenance organization in Southeastern Pennsylvania. We are the first health system regionally to create an aligned payer-provider partnership.

Jefferson's mission, vision and values create an organization that attracts the best and the brightest students, faculty, staff, and healthcare professionals, as well as the most visionary leaders to drive exceptional results.

• OUR MISSION: We improve lives.
• OUR VISION: Reimagining health, education and discovery to create unparalleled value
• OUR VALUES: Put People First, Be Bold & Think Differently and Do the Right Thing

As an employer, Jefferson maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.

Par Reference Code

106321