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.

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

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.