Collection Representative

Jefferson Health Plans

4d

About The Position

The position includes, but is not limited to the following essential functions. 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 • Interacts with co-workers, visitors, and other staff consistent with the core values of the Hospital.

Requirements

• High school diploma or equivalent. Some college 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.

Responsibilities

• Ensure the timely and accurate completion of home infusion insurance billing, resubmits and cash collection through effective patient, referral and carrier interface.
• Assist CSR’s in qualifying new orders.
• Resolve disputes in billings and when needed, initiate the collection process through telephone contact, letters, etc.
• 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
• Interacts with co-workers, visitors, and other staff consistent with the core values of the Hospital.

Benefits

• Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
• Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
• All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees