Collection Representative (King of Prussia)

Primary Responsibilities:

Ensure the timely and accurate completion of home infusion insurance billing, resubmits and cash collection through effective patient, referral and carrier interface. Assist customer service representative (CSR) with qualifying new orders. Resolve disputes in billings and when needed, initiate the collection process through telephone contact, letters, ect.

Location: King of Prussia, PA (in person)

Hours: M-F 8:30a-5p

Essential Functions:

Verify the accuracy of billing information received from CSR's and assist in obtaining additional information required before claims processing. Interface with payers, patients, family and healthcare professionals to obtain claim preparation information. Post payments and identify credits and write offs. Process credits and write-offs with Manager's approval. Review payment denials and claim rejections, research and resubmit where appropriate. Interaction with co-workers, visitors and other staff consistent with the core values of the Hospital.

• Accurately & timely posts all cash, checks, credit cards and electronically transferred funds to patient's accounts.
• Balances to daily batch deposits
• Assist in the month-end closing by ensuring all appropriate information is posted to the A/R within the allotted time frame.
• Month-End Reports Daily Cash Receipts Daily Cash Journal
• Researches unidentified payments for proper posting or return to the payer
• Completes required number of transactions per day/week/month based on performance guidelines
• Works in an efficient and cohesive group environment
• Supports group and management efforts
• Be willing to cross-train and fill-in in other areas within the department
• Supports and actively participates in initiatives designed to improve individual and organizational performance

The Collections Representative is responsible for daily remit processing, reconciliation, and analysis of payment activity between the bank lockbox, daily deposits, and payment application system. This position will act as a liaison between the department, financial reporting team, front end Registration, Patient Financial Services, and other departments regarding cash/payment related inquiries. This individual will ensure all workflow items are completed within the set turnaround time within quality expectations.

Qualifications

• High school diploma or equivalent. Some college experience desirable.
• Minimum 5 years experience in healthcare/insurance billing and collections.
• Familiarity with computer based billing and collection systems.
• Strong organizational and verbal and written communication skills.
• Excellent problem-solving skills. Ability to work independently.

Closing Statement

About Jefferson

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 42,000 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 College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top healthcare systems in the country and the largest provider in the Philadelphia area, serves patients through millions of encounters each year at 17 hospitals and more than 160 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Par Reference Code

105437