JUP Denials Specialist

Jefferson Health Plans•Philadelphia, PA
•Onsite

About The Position

The Billing Coordinator is responsible for functions related to billing and coding procedures and services for Jefferson Health. The role also assists with reports and other duties assigned by the Director of Practice Operations. Responsibilities and time allocations may vary by department and location, and additional duties may be assigned according to organizational needs.

Requirements

  • High school diploma or GED.
  • Knowledge of policies and procedures applicable to assigned duties and emergency events.

Nice To Haves

  • Five years of medical billing experience.

Responsibilities

  • Demonstrate commitment to Jefferson’s core values of excellence and innovation, integrity and respect, teamwork, and communication.
  • Review and code inpatient charges for submission to Physician Billing Services (PBS).
  • Reconcile daily cash and oversee bank deposits as needed.
  • Review and sign batches before submitting them to PBS.
  • Work the Vericlaim Info X Error Report daily.
  • Assist the Director with bank deposit reports as needed.
  • Assist the Director with weekly and monthly Practice Work file Rejection Reports, including contacting carriers about rejections and making charge corrections as needed.
  • Assist the Director in developing and implementing procedures to streamline and improve billing efficiency.
  • Assist the Director in reducing departmental billing lag times.
  • Assist the Director with the monthly Collection Report.
  • Review charges to ensure patient responsibility is identified.
  • Work with the Compliance office as needed.
  • Copy charts for compliance, CMS, and other requests.
  • Work with patients to collect outstanding balances.
  • Know policies and procedures applicable to assigned duties and emergency events.
  • Report errors or events involving actual or potential harm.

Benefits

  • Medical insurance, including prescription coverage
  • Supplemental insurance
  • Dental insurance
  • Vision insurance
  • Life and AD&D insurance
  • Short- and long-term disability coverage
  • Flexible spending accounts
  • Retirement plans
  • Tuition assistance
  • Voluntary benefits, including access to group insurance rates and discounts
  • Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
  • Medical insurance, including prescription coverage, is available to all colleagues, including per diem colleagues, adjunct faculty, and Jeff Temps
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