Accounts Receivab Coord II JFF

Job Details

Job Description

CORE FUNCTIONS AND COMPETENCIES:

• Responsible for totaling, batching and entering into Epic billing system charges for physician activity.
• Ensure all charge slips are completed correctly and timely.
• Review all registration forms and charge slips through Epic system.
• Review explanation of benefits received to ensure proper payment from the Insurance Company.
• Review payments, attach to billing charge slips and send to CBO.
• Follow-up rejected or underpaid claims, as follow-up with CBO.
• Remain current and knowledgeable regarding all insurer and regulatory changes (includes Medicare, Medicaid, and Managed Care Programs with whom department participates).
• Handle telephone billing inquiries from patients and CBO.
• Handle inquiries from CBO concerning billing inquiries,
• Work with physicians to ensure proper patient account write off.
• Review and maintain all patient registration for current insurance coverage.
• Answer all billing questions when patient inquires on site.
• Periodic review of accounts receivables for all practice locations, follows up as necessary:
• Completes paperwork for patient or third party refunds.
• Reviews/resolves problematic accounts. Handles patient complaints regarding unresolved billing issues, coordinates account handling with manager.
• Recommends departmental collection procedures modification or enhancements.
• Follow-up on returned mail. Telephone patients, etc to update any registration information. Accesses hospital database for information.
• Collects data, prepares reports and complies statistical data from Epic billing system for accounts receivable analysis.
• Maintain service orientation with staff, patients, and the public.
• Participates in professional development activities and maintains professional affiliations.
• Review all registration reports.
• Fill in for staff in other divisions when out sick/vacation.
• Contact physicians regarding timely completion of billing forms.
• Other duties as assigned.

Core Values
Demonstrates commitment to our core values of excellence and innovation, integrity and respect, teamwork and communication.

Safety
Knows policies and procedures applicable to assigned duties. Uses sound judgment and is aware of potential hazards before taking action. Promptly reports errors/events or situations of actual or potential harm. Understands emergency procedures and can demonstrate appropriate response.

Work Shift

Worker Sub Type

Primary Location Address

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 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 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 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.

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.